In observance of Thanksgiving, our office will be closed Thursday and Friday 11/26 and 11/27. Please click here to create a support ticket. Normal phone support will resume on Monday, November 30th at 7:00 AM PST.
California > Statewide > Department Of Alcoholic Beverage Control

Label Approval Application ABC-412 - California

Label Approval Application Form. This is a California form and can be used in Department Of Alcoholic Beverage Control Statewide .
 Fillable pdf Last Modified 10/20/2015
Get this form for FREE as a print-only pdf

Department of Alcoholic Beverage Control MALT BEVERAGE LABEL FILING APPLICATION Submit this form to the Department of ABC, Attn: Price Posting, 3927 Lennane Drive, Suite 100, Sacramento, CA 95834. Include labels attached to a separate sheet of paper (no photocopies or size reductions). Also include an endorsed copy of your fictitious business name statement, if applicable. (See additional instructions, ABC-412 Instr.) 1. MANUFACTURER'S LEGAL NAME 2. CALIFORNIA ABC LICENSE NUMBER State of California EDMUND G. BROWN JR., Governor Pending 3. MANUFACTURER'S ADDRESS (Street number and name, city, state, zip code) 4. CERTIFICATE OF COMPLIANCE NUMBER Pending 5. CONTACT PERSON'S NAME 6. CONTACT PHONE NUMBER 7. IF YOU PREFER TO RECEIVE EMAIL NOTIFICATION OF THE RESULT OF YOUR LABEL SUBMISSION, ENTER YOUR EMAIL ADDRESS BELOW. (SEE ABC-412 INSTRUCTIONS) 8. IS THE MANUFACTURER OF THE PRODUCT DIFFERENT FROM THE SHIPPER Yes No If Yes, complete questions #9-12. If No, skip to question #13. 9. SHIPPER'S NAME (As appears on Bill of Lading as Consignor) 10. SHIPPER'S ADDRESS (Street number and name, city, state, zip code) 11. CONTACT PERSON'S NAME 12. CONTACT PHONE NUMBER 13. IS PRODUCT CONTRACT BREWED? Yes 14. CONTRACTOR'S NAME No If Yes, complete questions #14-18. If No, skip to question #19. 15. IF IN CA, LICENSE NUMBER Pending 16. CONTRACTOR'S ADDRESS (Street number and name, city, state, zip code) 17. CONTACT PERSON'S NAME 18. CONTACT PHONE NUMBER 19. IS MANUFACTURER USING A FICTITIOUS BUSINESS NAME ON LABEL? Yes 20. FICTITIOUS BUSINESS NAME No If Yes, complete questions #20-21. If No, skip to question #22. 21. HAS FICTITIOUS BUSINESS NAME STATEMENT BEEN FILED PREVIOUSLY WITH ABC? Yes Yes 23. PRODUCT BRAND(S) No No SIZE(S) ALCOHOL CONTENT PERCENTAGE (By volume) 22. IS THIS PRODUCT REQUIRED TO BE LABELED PURSUANT TO SECTION 25205 OF THE ABC ACT? 24. AUTHORIZED SIGNATURE 25. DATE SIGNED FOR ABC USE ONLY DATE MAILED Label(s) Accepted For Filing Label(s) Rejected For Filing (See attached ABC-412 INSTR) DEPARTMENT SIGNATURE ABC-412 (12/14) American LegalNet, Inc.
Link/Embed this Document

Popular Searches

  1. proof of service of summons
  3. Notice and Acknowledgment of Receipt
  4. Income and Expense Declaration
  5. Petition to Expunge
  6. writ of replevin
  7. proof of claim
  8. divorce forms
  9. abstract of judgment
  10. form interrogatories

Bookmark and Share