Michigan Department of Licensing and Regulatory AffairsLiquor Control Commission (MLCC) Toll-Free: 866-813-0011 - www.michigan.gov/lcc Salesperson License ApplicationFor information on manufacturer and wholesaler licenses and permits, including a checklist of required documents for a completed application, please visit the Liquor Control Commission's frequently asked questions website by clicking this link . Salesperson Licensee That Works for a Beer or Wine Related Licensee Pursuant to Public Act 129 of 2017 (MCL 436.1502), beginning April 15, 2018 a Salesperson license applicant that works for a licensee listed below as a Beer or Wine Related Licensee must submit with his or her application written documentation that the applicant has successfully completed a salesperson accreditation program approved by the Commission listed below. A Salesperson licensee that works for a company listed below must also submit acceptable proof of completion of a salesperson accreditation program no more than 120 days before renewing a Salesperson license. A Salesperson licensee that was issued a license under Administrative Rule R 436.1853 prior to April 15, 2018 must comply with the requirements of MCL 436.1502, including providing proof of completion of the a salesperson accreditation program upon renewing his or her Salesperson license, transferring the license to a different company, or applying for a new Salesperson license under a different company. Please note: salesperson accreditation is not the same as server training for on-premises licensees - they are separate programs with different requirements. Beer or Wine Related Licensees Commission Approved Salesperson Accreditation Programs Michigan Salesperson License Accreditation Program - mbwwasaleslicense.org Michigan Brewers Guild's Michigan Salesperson License Accreditation Program - training.mibeer.com Salesperson Licensee That Works for a Spirits Related Licensee A Salesperson license applicant that works for only a licensee listed below as a Spirits Related Licensee is not required to submit written documentation of successful completion of a salesperson accreditation program for issuance or renewal of a Salesperson license. A Salesperson licensee that works for only a licensee listed below as a Spirits Related Licensee and who was issued a license under Administrative Rule R 436.1853 prior to April 15, 2018 must comply with all other requirements of MCL 436.1502, except for the requirement to complete a salesperson accreditation program. Spirits Related Licensees 267 Small Distiller licensee 267 Manufacturer of Spirits licensee 267 Vendor of Spirits 267 A Broker licensee representing Spirits Related Licensees only Individuals Exempt From Holding A Salesperson License Pursuant to MCL 436.1502(5), an individual that is 18 years of age that only does any of the following does not require a Salesperson license: 267 Builds a display of those brands that are represented or sold by the individual's employer for an off-premises retailer. 267 Marks the price on those brands that are represented or sold by the individual's employer for an off-premises retailer. 267 Rotates brands that are represented or sold by the individual's employer for an off-premises retailer. 267 Places brands that are represented or sold by the individual's employer on shelves for an off-premises retailer. 267 An individual who holds a Michigan commercial driver license or chauffeur's license and transports and delivers alcoholic liquor to a retailer in a vehicle licensed by the Commission under MCL 436.1525 (i.e. Wholesaler or qualified Micro Brewer licensee delivery vehicle). 267 Micro Brewer licensee 267 Brewer licensee 267 Small Wine Maker licensee 267 Wine Maker licensee 267 Mixed Spirit Drink Manufacturer licensee 267 Outstate Seller of Beer licensee 267 Outstate Seller of Wine licensee 267 Outstate Seller of Mixed Spirit Drink licensee 267 Wholesaler licensee 267 A Broker licensee representing Beer or Wine Related Licensees only 267 A Broker licensee representing Beer or Wine Related Licensees AND Spirits Related Licensees American LegalNet, Inc. www.FormsWorkFlow.com Michigan Department of Licensing and Regulatory AffairsLiquor Control Commission (MLCC) Toll-Free: 866-813-0011 - www.michigan.gov/lcc Business ID: Request ID:(For MLCC Use Only)Salesperson License ApplicationPart 1 - Applicant InformationApplicant legal name:Address:City:Zip Code:State:Phone:Email Driver's License Number:Page 1 of 2LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities. For information on manufacturer and wholesaler licenses and permits, including a checklist of required documents for a completed application, please visit the Liquor Control Commission's frequently asked questions website by clicking this link .Part 2 - License Fee & Required Documents License Transfer, no fee - New License, $35.00 - Make check payable to State of Michigan (MLCC Fee Code 4038)List the license number to be transferred: State That Issued Driver's License:Birthdate: 267 Micro Brewer licensee 267 Brewer licensee 267 Small Wine Maker licensee 267 Wine Maker licensee 267 Mixed Spirit Drink Manufacturer licensee 267 Outstate Seller of Beer licensee 267 Outstate Seller of Wine licensee 267 Outstate Seller of Mixed Spirit Drink licensee 267 Wholesaler licensee 267 A Broker licensee representing Beer or Wine Related Licensees only 267 A Broker licensee representing Beer or Wine Related Licensees AND Spirits Related Licensees 267 Small Distiller licensee 267 Manufacturer of Spirits licensee 267 Vendor of Spirits 267 A Broker licensee representing Spirits Related Licensees only. Select the type of license held by the company employing the Salesperson applicant. Select only Section A or Section B:Do you hold any position, either by appointment or election, which involves the duty to enforce any penal law of the United States of America, or the penal laws of the State of Michigan, or any penal ordinance or resolution of any municipal subdivisions of the State of Michigan? Yes NoIf Yes, please explain:LCC-153 (01-19) Section B - Applicant Works for Spirits Related Licensee Only Section A - Applicant Works for Beer or Wine Related Licensee ***Applicant Must Submit Documentation of Successful Completion of Salesperson Accreditation Program*** American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities. Part 3 - Signature of Applicant (Salesperson ) I certify that the information contained in this form is true and accurate to the best of my knowledge and belief. I agree to comply with all requirements of the Michigan Liquor Control Code and Administrative Rules. I also understand that providing false or fraudulent information is a violation of the Liquor Control Code pursuant to MCL 436.2003. Print Applicant Name Applicant Signature DatePart 4 - Information on Company Employing Applicant (to be completed by employing company)Part 5 - Authorized Signature for Company Employing Applicant The company requests the MLCC to grant a Salesperson License to the applicant. I certify that the information contained in this form is true and accurate to the best of my knowledge and belief. I agree to comply with all requirements of the Michigan Liquor Control Code and Administrative Rules. I also understand that providing false or fraudulent information is a violation of the Liquor Control Code pursuant to MCL 436.2003. Company name:Address:City:Zip Code:Phone:Email Contact Name:Phone:Email: Federal Employer Identification Number (FEIN): Date Authorized Signer for Company Print Name and TitlePlease return this completed form along with corresponding documents and fees to: Michigan Liquor Control Commission Mailing address: P.O. Box 30005, Lansing, MI 48909 Hand deliveries or overnight packages: Constitution Hall - 525 W. Allegan, Lansing, MI 48933 Fax to: 517-284-8557LCC-153 (01-19) American LegalNet, Inc. www.