Fillable ALCOHOLIC BEVERAGE CONTROL (ABC) MANAGERS LICENSE APPLICATION INSTRUCTIONS (Government of the District of Columbia)

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ALCOHOLIC BEVERAGE CONTROL (ABC) MANAGERS LICENSE APPLICATION INSTRUCTIONS (Government of the District of Columbia)

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ALCOHOLIC BEVERAGE CONTROL (ABC) MANAGER’S LICENSE APPLICATION INSTRUCTIONS
In the absence of a licensee (owner), an ABC manager is required to be on duty and on the premises during the approved licensed
hours of sales in order for the establishment to sell and serve alcoholic beverages. ABC manager applicants are required to
complete this application and submit all required forms detailed belowƚŽƚŚĞůĐŽŚŽůŝĐĞǀĞƌĂŐĞZĞŐƵůĂƚŝŽŶĚŵŝŶŝƐƚƌĂƚŝŽŶΖƐ
;ZͿŽĨĨŝĐĞ͘
Applicants are also required to complete an alcohol awareness training program offered by an ABC Board-approved
provider and submit a certificate of completion to ABRA. This program educates applicants on matters related to the sale
and consumption of alcohol and a number of these are available in the District metro area. The alcohol awareness training
certification is valid for three years.
ABC Manager Licenses are issued to and maintained by the person named on the license for the entire licensure period. An ABC
Manager License is NOT associated with or controlled by any establishment -- even if it was paid for by a representative of that
establishment.
FEES
The application must be accompanied by the proper license fee. The ABC Manager’s License fee is $390 and is valid for a
three year period from your issuance date. Payments can be made in the form of a cashier’s check, certified check,
business check, attorney’s check, personal check or money order. A check or money order must be payable to the D.C.
Treasurer. Payment may also be made by Visa, MasterCard, Discover or American Express.
APPLICATION
Complete all sections of the application. If a section does not apply, write “not applicable.” The term “applicant” in this
application designates the person in whose name the license will be issued if the application is approved. An applicant that
wants to designate another individual to pick up the license must submit a written authorization to ABRA. An applicant must be at
least 21 years of age and provide a valid government issued form of identification. Applications with ABRA must be
submitted in person at:
• 2000 14th St., NW, 4th Floor, Suite 400 South, Washington, DC 20009
• Office Hours: 8:30 a.m.-4:00 p.m., Monday-Friday
OTHER FORMS REQUIRED
Personal Information Release Authorization
Clean Hands Certification
Police Clearance
• All applicants must obtain a police clearance from the District of Columbia's Metropolitan Police Department, located
at 300 Indiana Avenue NW, Washington D.C. 20001. In addition, you must submit a police clearance for the
jurisdiction in which you currently reside. Please be advised that you may apply for a temporary license without the
police clearance but the temporary license will only be good for 90 days from the date of issuance. If you do not
submit the completed police clearance within 90 days all monies will be forfeited.
Court Disposition
• All persons with a misdemeanor or felony conviction during the last five years must submit a copy of the court
disposition.
Alcohol Awareness Certificate
• Please submit your alcohol awareness certificate from an ABC Board approved provider. Please be advised that you
may apply for a temporary license without the alcohol awareness certificate but the temporary license will only be
valid for 30 days from the issuance date. The certification must be valid for at least six months from application. If you
do not submit the completed alcohol awareness certificate within 30 days, all monies will be forfeited.
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. In order to report fraud, waste, and abuse in District of Columbia government, call 1-800-521-1638.
8.
b.
c.
a. U.S. Passport
U.S. Certificate of Naturalization or Citizenship
Permanent Resident Card (Green Card)
MANAGER’S APPLICATION
OFFICIAL USE ONLY
License Number: Date Accepted: Accepted by:
Fees Paid: $ From To Issue Date: From To
Date Approved by Board
/ /
Initial
Date Denied by Board
/ /
Initial
TO BE COMPLETED BY APPLICANT
1. Applicant’s Name (Last, First, Middle Initial)
2. Date of Birth 3. Place of Birth 4. Personal Telephone Number
5. Residential Address City State
Zip Code
6. Email address
7. Are you eligible to work in the United States?
If yes, please bring qualifying documents and provide the information below:
d. Work Permit
e. Visa
f. Certificate number g. Expiration date
9. Have you ever:
a. Received or applied for any alcoholic beverage license in D.C. or any state or territory?
b. Had any alcoholic beverage license suspended or revoked?
c. Been convicted of a misdemeanor during the last five (5) years or a felony during the last five (5) years (If yes, attach a copy of the
court disposition(s))?
10. Check appropriate box if any of the following apply:
a. You have operational control over an ABC establishment.
b. Serve in a managerial capacity for an ABC establishment.
c. The establishment is owned by you or an immediate family member.
11. If you have answered yes to any questions 9 or 10, please attach a detailed explanation with each initialed.
12. Certification
I, __________________________________________________________ , hereby certify that I have obtained and read Title 25 of the D.C. Official
Code and Title 23 of the District of Columbia Municipal Regulations. I understand that I will be held responsible for complying with the laws and
regulations contained therein. I, certify under penalty of perjury, that the statements in the foregoing are true and correct.
______________________________________ Subscribed and sworn to before me ___________________________ My commission
Signature on this _____ day of___, 20___. Notary Public expires on _________.
13. In what language do you need vital documents translated?
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. In order to report fraud, waste, and abuse in
District of Columbia government, call 1-800-521-1638.
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
PERSONAL INFORMATION RELEASE AUTHORIZATION
*NOTE: An Information Release Authorization must be completed if you are one of the following: Sole Proprietor, Partner(s),
Corporate Officers, Directors of Corporation, Managing Member(s), or General Partner(s).
CAREFULLY READ THIS AUTHORIZATION TO RELEASE INFORMATION ABOUT YOU, THEN SIGN AND DATE IN INK.
I authorize any agent from the Alcoholic Beverage Regulation Administration to obtain any information relating to my
activities from employers, criminal justice agencies, financial or lending institutions, credit bureaus, consumer reporting
agencies and retail business establishments, or individuals. This information may include, but is not limited to, my residential,
personal, or criminal history record and financial and credit information.
I further authorize release of my criminal history from criminal justice agencies for the purposes of determining my eligibility
for a liquor license as either a licensee and/or investor. I understand that the information released is for official use by the
Alcoholic Beverage Regulation Administration, and that these users may re-disclose this information as authorized by law.
I release any individual, including records custodians, from all liability for damages that may result to me because of
compliance, or any attempts to comply, with this authorization. This release is binding, now and in the future, on my heirs,
assignees, associates and personal representative(s) of any nature. Copies of the authorization that show my signature are as
valid as the original release signed by me.
Failure to complete this form may result in delays of obtaining your license and may result in the license being denied if this
information cannot otherwise be obtained.
___________________________________________
Signature
___________________________________________
Social Security Number
______________________
_______________
_____________________________________________
Full Name (Print or type)
______________________________________________
Other Names Used (Print or type)
______________________________________________
Current Address
Home Telephone Number
Date
I hereby certify under penalty of perjury that the foregoing information is true and correct. I further, hereby, authorize
the Alcoholic Beverage Control Board or its employees to investigate any and all of the information provided by me in
this application for an ABC License.
____________________________ Subscribed and sworn to before me ___________________________ My commission
Signature on this _____ day of___, 20___. Notary Public
expires on ___________.
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. In order to report fraud, waste, and abuse in District of Columbia government, call 1-800-521-1638.
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ALCOHOLIC BEVERAGE CONTROL (ABC) MANAGERS LICENSE APPLICATION INSTRUCTIONS (Government of the District of Columbia)

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Completed 19 February 2021

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