Application - Serve Employees Or Guests Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Application - Serve Employees Or Guests Form. This is a Washington form and can be use in Liquor Control Board Statewide.
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Tags: Application - Serve Employees Or Guests, LIQ 651-51, Washington Statewide, Liquor Control Board
For Office Use Only
Liquor Control Board
Licensing and Regulation
PO Box 43098
Olympia WA 98504-3098
www.liq.wa.gov
360/664-1600
FAX (360) 753-2710
Date
Check
No.
Amount
Rec’d
Rec’d
By
License
No.
Application: Serve Employees or Guests
$500 fee
For a business that does not hold a liquor license to serve liquor without charge to employees or invited guests (WAC
314-38-010/050).
? The liquor must be served to employees or invited guests in specified hospitality or dining rooms (the general
?
public cannot be allowed in these rooms while liquor is being served).
? The liquor cannot be sold in any manner, whether by scrip, donation, or contribution. No charge may be made
?
to the guests for admission to the hospitality or dining rooms, or for any meals or services provided in the
rooms.
? Liquor service cannot be advertised.
?
? A class 4 permit holder may serve liquor for no more than 24 hours during any week.
?
? The liquor must be purchased at retail.
?
Name of Applying Business
Type of Business
Business Address (Street or Route, City, State, Zip Code)
Inside city limits
Mailing Address (if different than above):
Outside city limits
Phone No:
(
)
Designated room(s) where liquor will be served
Partners, Corporate Officers, or Limited Liability Company Members/Managers
Name
Birthdate
Home Address (Street, Route, or PO Box, City, State, Zip Code)
Social Security Number
Home Telephone No.
(
)
% owned
Title
Spouse Name
Birthdate
Social Security Number
Name
Birthdate
Social Security Number
Home Address (Street, Route, or PO Box, City, State, Zip Code)
Home Telephone No.
(
)
% owned
Title
Spouse Name
Birthdate
Social Security Number
Name
Birthdate
Social Security Number
Home Address (Street, Route, or PO Box, City, State, Zip Code)
Spouse Name
Home Telephone No.
(
)
Birthdate
% owned
Title
Social Security Number
(attach additional sheets if necessary)
I declare under the penalties of perjury that the answers contained in this application are true, correct, and complete.
The undersigned certifies it is understood that a misrepresentation of fact is cause for rejection of this application or
revocation of any permit issued.
Applicant: Keep Pink Copy
LIQ 651-51 5/00
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