District Of Columbia > Statewide > Alcoholic Beverage Regulation Administration
Entertainment Endorsement Application - District Of Columbia
| Entertainment Endorsement Application Form. This is a District Of Columbia form and can be used in Alcoholic Beverage Regulation Administration Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Entertainment Endorsement GOVERNMENT OF THE DISTRICT OF COLUMBIA ALCOHOLIC BEVERAGE REGULATION ADMINISTRATION ENTERTAINMENT ENDORSEMENT APPLICATION FOR OFFICIAL USE ONLY Date Accepted: __________________ Date Issued: ____________________ License Period: From __________ To ___________ Hearing Date: ___________________ Accepted By: ___________________ Board Approved Date: ________ Board Member's Initials: ______ ______ ______ ______ ______ ______ ______ New Amended License Number: ___________ Fees Paid: $________ From _________ To ________ TO BE COMPLETED BY APPLICANT 1a. Type of activity: b. Type of License? C Entertainment D Restaurant Dancing Tavern Hotel Cover Charge 2. Name of Applicant (Last Name, First Name, Middle Initial) 4. Business Address 6. Business Telephone Number ( 7. Fax Number ( ) ) 3. Trade Name 5. Mailing Address, if different from business address 8. Email Address 9. List below the hours of operation. Days Hours of Operation Sunday Monday Tuesday Wednesday Thursday Friday Saturday From _________ From _________ From _________ From _________ From _________ From _________ From _________ To _________ To _________ To _________ To _________ To _________ To _________ To _________ Hours of Alcoholic Beverage Sales and Consumption From _________ From _________ From _________ From _________ From _________ From _________ From _________ To _________ To _________ To _________ To _________ To _________ To _________ To _________ Hours of Live Entertainment, beginning after 6:00 p.m. From _________ From _________ From _________ From _________ From _________ From _________ From _________ To _________ To _________ To _________ To _________ To _________ To _________ To _________ 10. Describe the nature of the entertainment to be offered: 11. If a Tavern license, do you intend to provide an area for dancing or a dance floor that is larger than one hundred and forty square feet (140ft2)? ( ) Yes ( ) No 12. If you checked "Cover Charge" in Section 1b. AND have a Certificate of Occupancy over four hundred (400) persons, please provide the following: 1) Copy of Public Hall Certificate of Occupancy from the Zoning Administrator; AND 2) Copy of Entertainment Endorsement for a Public Hall from the Department of Consumer and Regulatory Affairs. 13. Has there been any administrative/adjudicatory action taken against you regarding ABC violations in the District of Columbia or any state? ( ) Yes ( ) No If yes, please explain what actions were taken, location of action, and the disposition. 14. Certification: I hereby certify under perjury that the information in this application and attachments are true and correct to the best of my knowledge and belief. I will also conform to all laws and regulations related to the endorsement(s) for which I have applied. ____________________________ Subscribed and sworn to before me ___________________________ Signature on this _____ day _____, 20___. Notary Public 15. Please answer the question: In what language do you need vital documents translated, if any? My commission expires on _____________. SPECIAL NOTICE The District of Columbia will provide the appropriate services and auxiliary aids, including sign language interpreters, whenever necessary to ensure effective communication with members of the public who are deaf, hearing impaired or who have other disabilities affecting communications. Requests for services and auxiliary aids should be made at least ten days prior to any scheduled hearing. Please notify the ADA Coordinator at (202) 442-4423. American LegalNet, Inc. www.FormsWorkflow.com GOVERNMENT OF THE DISTRICT OF COLUMBIA ALCOHOLIC BEVERAGE REGULATION ADMINISTRATION INSTRUCTIONS FOR FILING AN APPLICATION FOR ALCOHOLIC BEVERAGE CONTROL ENTERTAINMENT ENDORSEMENT The following instructions are intended for retail applicants who are applying for an Alcoholic Beverage Control (ABC) entertainment endorsement. You must call an ABC Licensing Specialist to schedule an appointment for the submission of your application. Applications will only be accepted when ALL of the information is provided. To schedule an appointment call (202) 442-4423 between the hours of 9:00 a.m. and 4:00 p.m., Monday through Friday and ask to speak to a licensing specialist. 1. 2. 3. 4. 5. All persons applying for an ABC Entertainment Endorsement must be at least 21 years of age. Applications must be submitted in person. Please bring a valid government issued identification with you. Please note the term "APPLICANT" as used in this application designates the person(s) in whose name(s) the license will be issued if the application is approved. Application forms must be notarized where applicable. FEE: The application must be accompanied by the proper endorsement fee in the form of a cashier's check, certified check, business check, attorney's check, personal check, or money order, payable to the D.C. Treasurer, cash, or by credit card (except for American Express). The entertainment endorsement fee is twenty percent (20%) of the base license (class C/R, D/R, C/H, D/H, C/T, and D/T) fee. Your licensing specialist will provide you with the correct endorsement fee. Please see the attached fee schedule. Attach extra sheets if the space provided under any item is inadequate. Write, "see attachment" in any such space, and show name of licensee and date of application at the top of each sheet. 6. Instructions for the Entertainment Endorsement Application: Please read all questions carefully. Each question must be answered. If a question of one portion of the question does not apply; fill in the word "NONE". 1. Check the type of activity the applicant is seeking approval for: Entertainment, Dancing, and/or Cover Charge. i. Note: "Entertainment" includes live music or any other performance by an actual person, including live bands, karaoke, comedy shows, poetry readings, and disc jockeys. "Entertainment" does not include the operation of a jukebox, a television, a radio, or other prerecorded music. ii. Note: "Cover Charge" is a fee required by an establishment to be paid by patrons for admission that is not directly applied to the purchase of food or drink. b. Check the type of on-premises retailer's license the applicant currently holds (class C/R, D/R, C/T, D/T, C/H, or D/H). Print applicant's name (Last Name, First Name, Middle Name). Print applicant's trade name. Print applicant's business address. Print applicant's mailing address if different from business address. Print appli
|
|||||||
