Utah > Statewide > Department Of Alcoholic Beverage Control
Manufacturing License Application - Utah
| Manufacturing License Application Form. This is a Utah form and can be used in Department Of Alcoholic Beverage Control Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
UTAH DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL 1625 South 900 West · PO Box 30408 · Salt Lake City, UT 84130-0408 · (801) 977-6800 · FAX (801) 977-6888 www.abc.utah.gov "MANUFACTURING LICENSE" APPLICATION CHECKLIST Winery License [ ] Distillery License [ ] Brewery License [ ] The items below should be completed and submitted by the 10th of the month or earlier, so that your application can be processed in a timely manner. All licensing requirements must be fully satisfied in order to complete your application. You will be notified of the next monthly Utah Alcoholic Beverage Control Commission meeting when your application will be considered for issuance of a license. 1.____Completed application (form enclosed). 2.____Ownership entity organizational papers for business: a) if a corporation, submit a copy of articles of incorporation; b) if a partnership, submit a copy of written agreement; c) if a limited liability company, submit a copy of the articles of organization. 3.____Criminal history background check information (see application). 4.____Written consent from city/town council or county commission, whichever is applicable (form enclosed). 5.____Copy of current local business license. 6.____Copy of Alcohol and Tobacco Tax and Trade Bureau permit. 7.____$10,000 manufacturing cash or corporate surety bond (form enclosed). 8.____Certificate of public liability insurance. 9.____Scaled floor plan (8 1/2"x11") of premises highlighting the area where alcoholic products will be produced, stored, etc. 10.___$300 application fee (non refundable). 11.___$3,800 initial licensing fee (make checks payable to UDABC). Enclosed are copies of the Utah laws and commission rules pertaining to manufacturing licensees. If you have any questions concerning these forms or the application process, please contact our DABC Licensing and Compliance Division at (801) 977-6800. Effective 7.1.11 v7.18 Page 1 of 56 American LegalNet, Inc. www.FormsWorkFlow.com UTAH DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL APPLICATION FOR MANUFACTURING LICENSE Winery License [ ] 1. 2. 3. 4. 5. 6. 7. 8. Distillery License [ ] Brewery License [ ] Business Name:___________________________________________________________ Applicant/owner of business:________________________________________________ Location: _______________________________________________________________ Street City State Zip Mailing address:__________________________________________________________ Street P O Box City State Zip Business phone: _______________Office phone: ___________ Fax: ________________ Contact person: _________________________________ E-Mail: ___________________ Owner of real property and building:__________________________________________ List any other alcoholic beverage licenses held by applicant/principles: _______________________________________________________________________ 9. Ownership: Check appropriate box and provide the requested information in the space below (add additional sheets if necessary). [] Applicant is an individual: List below information for: (a) Individual (b) Managers (a) All Partners (b) Managers (a) Any Stockholder owning at least 20% of the corporation (b) All Corporate officers (c) Managers (a) Any members owning at least 20% of the company (b) Managers [] Applicant is a partnership: List below information for: [] Applicant is a corporation: List below information for: [] Applicant is a limited liability company (LLC): List below information for: TITLE____________NAME_______________________HOME ADDRESS______________________ HOME PHONE#____________DR LIC#_____________SS#___________DOB______%OWNED____ Are you a United States Citizen? ________ If no, must attach a copy of residency status. TITLE____________NAME_______________________HOME ADDRESS______________________ HOME PHONE#____________DR LIC#_____________SS#___________DOB______%OWNED____ Are you a United States Citizen? ________ If no, must attach a copy of residency status. 10. Criminal History. The law prohibits any person who has been convicted of a felony under any federal or state law or any violation of any federal or state law or local ordinance concerning the Effective 7.1.11 v7.18 Page 2 of 56 American LegalNet, Inc. www.FormsWorkFlow.com sale, manufacture, distribution, warehousing, adulteration, or transportation of alcoholic beverages from being in the alcoholic beverage business. The law also prohibits any person who has been convicted of any crime involving moral turpitude or, on two or more occasions within the last five years, has been convicted of driving under the influence of alcohol, or any drug, or the combination of alcohol and any drug from being in the alcohol business. This proscription also applies to any officers, partners, managers, managing agents, directors, stockholders who hold at least 20% of the total issued and outstanding stock of an applicant corporation, members who own at least 20% of an applicant limited liability company and to any person employed to act in a supervisory or managerial capacity. Please list all criminal offenses other than minor traffic offenses of which you or any of the above persons have ever been convicted: (also include any pending criminal charges). CRIMINAL OFFENSE DATE OF CONVICTION _______________________________________________________________________ ______________________________________________________________________________ In addition, a criminal history background check must be furnished on each person listed above and in subparagraph 5. This may be done as follows: a. Utah residents: If any person listed has been a resident of Utah for at least two years, he/she shall submit a fingerprint card to the DABC and consent to a fingerprint criminal background check by the Utah Bureau of Criminal Identification. b. Non Residents: Out of state residents or persons who have resided in Utah for less than two years shall submit a fingerprint card to the DABC and consent to a fingerprint criminal background check by the Federal Bureau of Investigation (F.B.I). An informed consent and release of liability form is included with this application. Fingerprint cards are available at law enforcement agencies. You may download the fingerprint card at this web address: http://www.fbi.gov/hq/cjisd/pdf/fpcardb.pdf Submit the form(s) to the DABC with a processing fee of: · $20.00 per card for BCI background checks, or · $39.25 per card for FBI background checks. In the case of an undue delay in the proces
|
|||||||
