EVENT DETAILS

Applications for Special Temporary licenses and Special Temporary Auction licenses must be submitted no later than five (5) working days prior to the date for which the license is requested.

Special Temporary licenses and Special Temporary Auction license can be issued for a period of up to thirty (30) days. An active license is required to purchase alcoholic beverages from a licensed wholesaler or distributor. Please choose the dates for your event accordingly.

Select Company *

Name of event *

Choose a start date *

Choose a date/ dates of event *

Choose an End date *

How many separate locations will you be selling from? *

Are you applying on behalf of a qualified non-profit? *

Choose a Temporary License you will be eligible for *

Upload a flyer

DON'T HAVE AN EVENT FLYER?

Description of the event

EVENT ADDRESS INFORMATION

Country*

Postal Code*

Address*

City*

State*

County*

Does the applicant own the premises where the qualifying event is to take place? *

Yes

Host details

Host organization name *

First Name*

Middle Name

Last Name*

Suffix

Phone*

Email*

EVENT DAY CONTACT DETAILS

First Name*

Middle Name

Last Name*

Suffix

Phone*

Email*

AFFIDAVIT

All terms and conditions regarding the payment.

I do hereby swear or affirm, under penalty of perjury , that I am authorized to submit this application on behalf of the named applicant and that all information and statements contained therein and any attachments are true and correct to the best of my knowledge, information, and belief. I hereby swear or affirm that if the license(s) is issued, the applicant shall abide by all state and local statutes, regulations, and ordinances relating to the manufacture, sale, use, and trafficking in alcoholic beverages.

I agree to sign and file this application by electronic means with the Department in compliance with the Kentucky Uniform Electronic Transactions Act contained in KRS 369.101 to 369.120. I further understand that the Department is accepting a typed version of my name as my original signature and that I have typed my name below with intent to sign this application.

Name *

EVENT DETAILS

DON'T HAVE AN EVENT FLYER?

EVENT ADDRESS INFORMATION

Host details

EVENT DAY CONTACT DETAILS

DOCUMENTS

AFFIDAVIT