Application Packets

     
 

Application Packet for Return of License from Safekeeping

This form is used to have a license reissued from safekeeping. If there had been an approved manager at the time the license was put in safekeeping, and that person is to be replaced at the time the premises is opened,PLCB-706, Application for Approval of Appointment of Manager, must be filed.

Individual forms:
PLCB-706 Application for Approval of Appointment of Manager

PLCB-1689 Application for Return of License from Safekeeping

Application Packet for Extension of Wholesale License to Cover Additional Premises

This packet of forms is used to report an addition to the approved licensed premises by wholesale licensees (Distributors and Importing Distributors). To report a change or addition to a retail licensees (restaurant, hotel, club) use form PLCB-49, Application for Extension of Retail License to Cover Additional Premises.

Individual forms:
PLCB-49 Application for Extension of Retail License to Cover Additional Premises
PLCB-1708 Application for Extension of Wholesale License to Cover Additional Premises
PLCB-193 Affidavit of Compliance

PLCB-1296 Public Notice of Application Alcoholic Beverages Placard

Application Packet for Transfer of License and Permit (Retail)*

This packet of forms is used for transfer of licenses from person to person, place to place, or both, subject to the specified limitations as to municipality or county. See instructions on PLCB-21 for more details.

If transfer is person to person, place to place, or both, it is necessary to complete PLCB-193 (Affidavit of Compliance)and post the premises with Placard PLCB-1296 (Public Notice Of Application Alcoholic Beverages).

Individual forms:
PLCB-21 Application for Transfer of License and Permit
PLCB-26 Application for Retail Liquor or Retail Dispenser License and Permits
PLCB-193 Affidavit of Compliance
PLCB-1296 Public Notice of Application Alcoholic Beverages Placard
PLCB-1773 Appendix Social Security Information
PLCB-1842 Individual Financial Disclosure Affidavit
PLCB-1898 Tax Certification Statement (Buyer)
PLCB-2018 Request for Criminal Record Check (applicants)

Application Packet for Transfer of License and Permit (Wholesale)

This packet of forms is used for transfer of licenses from person to person, place to place, or both, subject to the specified limitations as to municipality or county. See instructions on PLCB-21 for more details.

If transfer is person to person, place to place, or both, it is necessary to complete PLCB-193 (Affidavit of Compliance) and post the premises with Placard PLCB-1296 (Public Notice Of Application Alcoholic Beverages).

Individual forms:
PLCB-21 Application for Transfer of License and Permit
PLCB-35 Application for Distributor or Importing Distributor
PLCB-193 Affidavit of Compliance
PLCB-1296 Public Notice of Application Alcoholic Beverages Placard
PLCB-1773 Appendix Social Security Information
PLCB-1842 Individual Financial Disclosure Affidavit
PLCB-1898 Tax Certification Statement (Buyer)
PLCB-2018 Request for Criminal Record Check (applicants)

Application Packet for Transfer of License and Permit (Clubs)

This packet of forms is used for transfer of licenses from person to person, place to place, or both, subject to the specified limitations as to municipality or county. See instructions on PLCB-21 for more details.

If transfer is person to person, place to place, or both, it is necessary to complete PLCB-193 (Affidavit of Compliance) and post the premises with Placard PLCB-1296 (Public Notice Of Application Alcoholic Beverages).

Individual forms:
PLCB-21 Application for Transfer of License and Permit
PLCB-3 Application for Club Liquor or Retail Dispenser License
PLCB-6 Membership Roll
PLCB-193 Affidavit of Compliance
PLCB-1296 Public Notice of Application Alcoholic Beverages Placard
PLCB-1773 Appendix Social Security Information
PLCB-1842 Individual Financial Disclosure Affidavit
PLCB-1898 Tax Certification Statement (Buyer
PLCB-2018 Request for Criminal Record Check (applicants)

Application Packet for Extension of Retail License to Cover Additional Premises

This packet of forms is to used to report a change to or an addition to the approved licensed premises by retail (restaurant, hotel, club, eating place) licensees. To report an addition to an approved licensed premises by a wholesale (distributor, importing distributor) licensee, use form PLCB-1708, Application for Wholesale License to Cover Additional Premises.

If new area is unlicensed, it is necessary to complete PLCB-193 (Affidavit of Compliance) and post the premises with Placard PLCB-1296 (Public Notice Of Application Alcoholic Beverages.

Individual forms:
PLCB-49 Application for Extension of Retail License to Cover Additional Premises
PLCB-193 Affidavit of Compliance
PLCB-1296 Public Notice of Application Alcoholic Beverages Placard
PLCB-1708 Application for Wholesale License to Cover Additional Premises
PLCB-1842 Individual Financial Disclosure Affidavit

Application Packet for Approval of Appointment of Manager*

This packet of forms is used for the appointment of a permanent manager, for a change of the permanent manager, or for the temporary appointment of a manager. Corporations, except clubs, should use this form to report a change in manager only. If there have been other officer changes in the addition to the change of manager, complete form PLCB-866, Notice of Change in the Officers, Directors, Stockholders or

Manager of Licensed Corporations, Except Club to report those changes.

 

Individual forms:
PLCB-866 Notice of Change in the Officers, Directors, Stockholders or Manager of Licensed Corporations, Except Club
PLCB-706 Application for Approval of Appointment of Manager
PLCB-1773 Appendix Social Security Information
PLCB-2018 Request for Criminal Record Check (new manager)

Application Packet for Notice of Change in the Officers, Directors, Stockholders or Manager of
Licensed Corporation, Except Clubs*

This packet of forms is to used, except by clubs, to report and change in the licensed corporation’s officers, directors, or stockholders, It is also to reflect a change to the manager If the manager also holds other positions (i.e. president and manager). If the corporation is reporting a change to manager only, PLCB-706, Application for Approval of Appointment of Manager, must be used.

If change is majority stockholders, it is necessary to complete PLCB-193 (Affidavit of Compliance) and post the premises with Placard PLCB-1296 (Public Notice Of Application Alcoholic Beverages).

Individual forms:
PLCB-706 Application for Approval of Appointment of Manager
PLCB-866 Notice of Change in the Officers, Directors, Stockholders or Manager of Licensed Corporation, Except Clubs
PLCB-193 Affidavit of Compliance
PLCB-1296 Public Notice Of Application Alcoholic Beverages
PLCB-1773 Appendix Social Security Information
PLCB-1842 Individual Financial Disclosure Affidavit
PLCB-2018 Request for Criminal Record Check (new officers)

Application Packet for New Retail Liquor or Retail Dispenser License and Permits*

This packet of forms is used to apply for a new retail liquor or retail dispenser (except clubs) license and supporting permits. See instructions on PLCB-26 for more details.

All new applicants must complete PLCB-193 (Affidavit of Compliance) and post the premises with Placard PLCB-1296 (Public Notice Of Application Alcoholic Beverages).

Individual forms:
PLCB-26 Application for Retail Liquor or Retail Dispenser License and Permits
PLCB-193 Affidavit of Compliance
PLCB-1296 Public Notice of Application Alcoholic Beverages Placard
PLCB-1773 Appendix Social Security Information
PLCB-1842 Individual Financial Disclosure Affidavit
PLCB-1898 Tax Certification Statement (Buyer)
PLCB-2018 Request for Criminal Record Check (applicants)

Application Packet for New Club Liquor or Retail Dispenser License

This packet of forms is used to apply for a new club liquor or retail dispenser license. See instructions on PLCB-3 for more details.

All new applicants must complete PLCB-193 (Affidavit of Compliance) and post the premises with Placard PLCB-1296 (Public Notice Of Application Alcoholic Beverages).

Individual forms:
PLCB-3 Application for Club Liquor or Retail Dispenser License
PLCB-6 Membership Roll
PLCB-193 Affidavit of Compliance
PLCB-1296 Public Notice of Application Alcoholic Beverages Placard
PLCB-1773 Appendix Social Security Information
PLCB-1842 Individual Financial Disclosure Affidavit
PLCB-1898 Tax Certification Statement (Buyer)
PLCB-2018 Request for Criminal Record Check (applicants)

Application Packet for New Distributor or Importer Distributor License

This packet of forms is used to apply for a new distributor or importing distributor license. See instructions on PLCB-35 for more details.

All new applicants must complete PLCB-193 (Affidavit of Compliance) and post the premises with Placard PLCB-1296 (Public Notice Of Application Alcoholic Beverages).

Individual forms:
PLCB-35 Application for Distributor or Importing Distributor
PLCB-193 Affidavit of Compliance
PLCB-1296 Public Notice of Application Alcoholic Beverages Placard
PLCB-1773 Appendix Social Security Information
PLCB-1842 Individual Financial Disclosure Affidavit
PLCB-1898 Tax Certification Statement (Buyer)
PLCB-2018 Request for Criminal Record Check (applicants)
PLCB-2289 Application for Sunday Sales Permit (Wholesale)

Application Packet for Additional Board-Approved Location

This packet of forms is used by limited wineries to apply for a new Board approved location other than the licensed premises. For more information, see the last page of PLCB-1685.

Individual forms:
PLCB-1773 Appendix Social Security Information
PLCB-1685 Application for Additional Board-Approved Location
PLCB-2018 Request for Criminal Record Check (proposed manager)

Application Packet for License Manufacture, Storage or Transportation

This packet of forms is used for manufacture, storage and transportation. See instructions on PLCB-1350.

Individual forms:
PLCB-1350 Application for License Manufacture, Storage or Transportation
PLCB-1773 Appendix Social Security Information
PLCB-1898 Tax Certification Statement(Not needed for Limited Wineries)
PLCB-2018 Request for Criminal Record Check
PLCB-2289 Application for Sunday Sales Permit (Wholesale)(Not needed for Limited Wineries)

Application Packet for Direct Wine Shipper License

This packet of forms is used to apply for a direct shipper license.

Individual forms:
PLCB-1898 Tax Certification Statement
PLCB-2236 Application for Direct Wine Shipper

Application Packet for Vendor's or Sales Permit*

This packet of forms is used to apply for a Sales Permit and/or a Vendor's Permit. See instructions on PLCB-1357 for more details.

Individual forms:
PLCB-1357 Application for Vendors or Sales Permit
PLCB-1773 Appendix Social Security Information
PLCB-1898 Tax Certification Statement
PLCB-1898A Tax Certification Statement for Management Company
PLCB-2277 Application for Use of Management Company
PLCB-1855 Application for Registration of Agent (Broker)
PLCB-702 Schedule of Wholesale License Fees/Schedule of Reciprocal

Application Packet for Importer or Sacramental Wine License*

This packet of forms is used to apply for a new or transfer of an Importer or a Sacramental Wine License. See instructions on PLCB-1355 for more details.

Individual forms:
PLCB-1355 Application for Importers or Sacramental Wine License
PLCB-1898 Tax Certification Statement
PLCB-1898A Tax Certification Statement for Management Company
PLCB-1842 Individual Financial Disclosure Affidavit
PLCB-2018 Request for Criminal Record Check
PLCB-1773 Appendix Social Security Information
PLCB-2277 Application for Use of Management Company
PLCB-1360 Application for Importer's Additional Warehouse License