Fill - Free fillable Form 371: A STATEWIDE CATERERS LICENSE APPLICATION FOR (Comptroller of Maryland) PDF form

COM/FED/RLS-371 08/19

See page 5 for guidelines and instructions.

For the use of: (Check one) Check type of license desired:

An individual Partnership General Limited

Corporation Limited Liability Co.

License Annual Fee

General SCAT License ............................................. $2,000.00

Limited SCAT License - More than 600,000 but less than 1,000,000 total population .. $1,500.00

Limited SCAT License - More than 300,000 but less than 600,000 total population ... $1,000.00

Limited SCAT License - Not more than 300,000 total population ..................$750.00

Do not remit any license fee with your initial application. If your application is approved, you will be advised of the appropriate

license fee based upon provisions of the law.

Date

New License Renewal (Permit #______________ )

NOTE: For renewal applications, you will need to submit full license fee with your renewal application.

If applying for a Limited License, list the three contiguous political subdivisions of the state in which you plan to operate:

Application is made by the undersigned under the provisions of the Annotated Code of Maryland, Alcoholic Beverages Article, for the

type of license checked above, and the applicant(s) submit and certify to the following information required by law:

APPLICATION FOR

A STATEWIDE

CATERER’S LICENSE

MARYLAND

FORM

371

1. Applicants * (1) (2)

(3)

Name

Residence

Cell Phone

Date of Birth

Place of Birth

Social Security Number **

Position

Qualifying Maryland

Resident? ***

Yes No Yes No Yes No

MD Resident Since (Date)

* The law requires three ocers to apply as license applicants, unless less than three exist. (In the latter case, submit

supporting documentation.)

** The disclosure of applicant’s Social Security Number is mandatory and will be used for background investigations, including

a criminal history records checks, pursuant to the Annotated Code of Maryland, Alcoholic Beverages Article.

*** At least one applicant must be a voter and taxpayer in Maryland presently and for the two immediately preceding years. In

case of partnership, all individuals must meet this requirement.

2. Company name and trade name __________________________________________________________________________

OFFICE USE ONLY

Check Number __________

Amount $ _____________

Deposit Date____________

Approved ______________

Date _________________

License # ______________

Stub # ________________

Date Issued ____________

COM/FED/RLS-371 08/19

APPLICATION FOR

A STATEWIDE

CATERER’S LICENSE

MARYLAND

FORM

371

3. Location of desired licensed premises/principal oce __________________________________________________________

4. Description of premises to be covered under license applied for (lot, type, size, and construction of building) _____________

__________________________________________________________________________

5. Phone ______________________ Fax ______________________ E-mail _______________________ ___________________________

6. a. Date business began ________________________________________________________________________________

b. Type of accounting period (calendar yr, scal yr, etc.) ___________________________ Month FY begins _____________

c. If corporation or limited liability company, date chartered ________________________ State ______________________

d. Federal Employer Identication Number __________________________________________________________________

e. MD Central Registration Number ________________________________________________________________________

7. Name and address of the owner of premises __________________________________________________________________

8. The applicants are presently the holders of the following alcoholic beverages licenses or permits issued by the state of

Maryland, any other state or jurisdiction, or the United States government (if more space is needed, attach additional sheet).

Issuing Authority Type Expiration Date Number

9. The applicants have previously held the following alcoholic beverage licenses or permits: _____________________________

_____________________________________________________________________________________________________

10. The applicants have applications pe nding for the following alcoholic beverage licenses or permits: ______________________

_____________________________________________________________________________________________________

11. Please answer each of the following questions applicable to all individual applicants: (attach explanation if “Yes” to (*)

questions):

*A. Has any applicant ever been convicted of a felony by any state or federal court? .................... Yes No

*B. Has any applicant ever been convicted of a violation of the laws of the United States, Maryland, or any other

state concerning alcoholic beverages, gaming, or gambling? ................................... Yes No

*C. Has any applicant ever been denied or had revoked an alcoholic beverage license or permit? ............ Yes No

D. Do the applicants agree to conform to all the laws, rules and regulations of the state of Maryland relating to

the business in which they propose to engage under this license? ............................... Yes No

E. Do the applicants authorize the comptroller and his duly authorized personnel to search without warrant

any premise or vehicle used in the business to be conducted under this license at any and all hours

agreeable to the state of Maryland? .................................................... Yes No

F. Do the applicants meet all state and local requirements and hold all requisite licenses relating to the

catering business conducted? ......................................................... Yes No

G. Do the applicants hold the requisite health department permit or certication to engage in catering

activities in the jurisdiction where their principal oce is located? (If yes, attach a copy of license or

certication. If no, attach documentation from the appropriate authority indicating no permit or

certication is required.) .......................................................... Yes No

H. Do the applicants hold a retail alcoholic beverage license solely for the privilege of catering alcoholic

beverages or do they pay an additional local fee for the privilege of catering alcoholic beverages? (If yes,

attach documentation) ........................................................... Yes No

I. Do the applicants agree to have an employee who has completed a certied alcohol awareness program

present at all times during catered events under this license? .................................. Yes No

Page 2

COM/FED/RLS-371 08/19

APPLICATION FOR

A STATEWIDE

CATERER’S LICENSE

MARYLAND

FORM

371

This Section Must be Completed by the Owner of the Premises

14. Statement of owner of premises required in connection with the Annotated Code of Maryland, Alcoholic Beverages Article. (I/

we) hereby certify, that (I am/we are) the owner(s) of property known as ________________________________________

____________________________________________________________________________________________________

named in the afore going application made to the State Comptroller under the Alcoholic Beverages Law of Maryland; that

(I / we) assent to the granting of the license applied for, and that (I/we) hereby authorize the State Comptroller, his duly

authorized deputies, inspectors and clerks, the Board of License Commissioners of the jurisdiction in which the place of

business is located, its duly authorized agents and employees, and any peace ocer of such jurisdiction to inspect and search,

without warrant, the premises upon which the business is to be conducted, and any and all parts of building in which said

business is to be conducted, at any and all hours.

12. The Annotated Code of Maryland, Alcoholic Beverages Article, Section 1-404 titled “Compliance with Workers’ Compensation

Act” requires the evidence of such compliance prior to the issuance of any license by this oce. The applicant hereby arms

(complete one):

a. the applicant is not an employer required to provide coverage by the Maryland Workers’ Compensation Law; or

b. the applicant is an employer required to provide employee coverage by the Maryland Workers’ Compensation Law

and has secured such coverage as evidenced by the certicate of compliance attached herewith; or

c. the applicant is an employer required to provide employee coverage by the Maryland Workers’ Compensation Law

and has secured such coverage. As evidence of such coverage, the following is submitted:

1. Name of Insurance Co. ____________________________________________________________

2. Policy or Binder No. ______________________________________________________________

13. All applicants must complete this section

Adavit

Also, by signing this application, I do solemnly declare and arm under the penalties of perjury that the contents of the

foregoing document are true and correct to the best of my knowledge, information, and belief.

Print name(s) and address(es) of ocer(s): (Note: All ocers must be listed - attach separate sheet if necessary.)

Page 3

____________________________________________________________________________________ ________________________________________________

Name Title

__________________________________________________________________ _______________________________________ ________ ____________________

Number and Street City State Zip Code

____________________________________________________________________________________ ________________________________________________

Name Title

__________________________________________________________________ _______________________________________ ________ ____________________

Number and Street City State Zip Code

____________________________________________________________________________________ _________________________________________________

Name Title

__________________________________________________________________ _______________________________________ ________ ____________________

Number and Street City State Zip Code

____________________________________________________________________________________ ________________________________________________

Name Title

__________________________________________________________________ _______________________________________ ________ ____________________

Number and Street City State Zip Code

__________________________________________________________________ ___________________________________________________

Signature of president or vice-president Signature of applicant

___________________________________________________

Signature of applicant

___________________________________________________

Signature of applicant

Note: If president or vice-president is one of

the applicants, he/she must sign both as

president/vice-president and as applicant.

(Corporation Seal)

COM/FED/RLS-371 08/19

APPLICATION FOR

A STATEWIDE

CATERER’S LICENSE

MARYLAND

FORM

371

Adavit

I do solemnly declare and arm under the penalties of perjury that the contents of the foregoing document are true and

correct to the best of my knowledge, information and belief.

Signature Type or print name

Company Name and Title Date

Third Party Checks

Adavit

I do solemnly declare and arm under the penalties of perjury that the contents below are true and correct to the best of my

knowledge, and that I am authorized and empowered to issue a check and make payment for the license/permit fee on behalf of

the applicant.

Name of Corporation; Partners of Partnership; or Individual (include Trade Name)

Complete Mailing Address

Signature of Owner, Partner or Corporate Ocer Title

Federal Identication Number and/or Social Security Number Date

Page 4

COM/FED/RLS-371 08/19

APPLICATION FOR

A STATEWIDE

CATERER’S LICENSE

MARYLAND

FORM

371

A SCAT license may be issued to a person who: (1) is engaged

in the business of catering; (2) meets all State and local

licensing requirements; (3) holds any catering license that

may be required by a local political subdivision; and (4) holds

an existing permanent retail alcoholic beverages license other

than a Class C license or does not hold an alcoholic beverages

license but has a permanent oce and storage facility for

alcoholic beverages in the State. A SCAT licensee may acquire

alcoholic beverages through a licensed wholesaler, if the

licensee also holds a retail license, or through a retail dealer

in the State.

A SCAT licensee may serve alcoholic beverages at a catered

event throughout the State to persons of legal drinking age on

unlicensed premises or on temporarily licensed premises. A

licensee may store unused alcoholic beverages at the principal

place of business for use at future catered events.

A licensed retailer who operates solely in a political subdivision

under the authority of the local Board of License Commissioners

need not acquire a SCAT license. Local boards are authorized

to monitor SCAT licensees and report violations of alcoholic

beverages law to the Comptroller’s Oce.

A SCAT licensee is required to supply service personnel, and

ensure that the personnel are present at all times during the

catered event. The personnel must be present for deliveries

of alcoholic beverages, and at least one individual must be

certied by an alcohol awareness program that is licensed by

the State Comptroller. All unused alcoholic beverages must be

returned at the end of a catered event to the principal place

of business. The sale of food must represent at least 70% of

the total cost of the event. A SCAT licensee may not serve

alcoholic beverages at its oce, or at any event for which the

holder is a sponsor, except when operating under a permanent

on-premises retail alcoholic beverages license.

A SCAT licensee may sell and serve alcoholic beverages only

during the hours and days that the holder of a Class B license

may operate in the jurisdiction where the catered event is

conducted. A person or establishment may have only one

SCAT license.

The SCAT license may be issued as a general or limited license.

A general SCAT license authorizes the holder to operate in any

political subdivision of the state and a limited SCAT license

authorizes the holder to operate in not more than three

contiguous designated political subdivisions provided that the

total population of the designated political subdivisions does

not exceed 1,000,000.

The annual fee for a general SCAT license is $2,000.00. For a

limited SCAT license, the fee is based upon the most recent

applicable records of the designated political subdivisions as

compiled by the Department of Health and Mental Hygiene as

follows:

1. A population of at least 600,000 $1,500.00

2. A population of more than 300,000 but less than 600,000

$1,000.00

3. A population of not more than 300,000 $750.00

An applicant for a SCAT license who holds a permanent

retail license and a special catering license, or who pays an

additional fee for the privilege of catering in the applicant’s

political subdivision, shall be entitled to a license fee credit

not to exceed the additional catering fee paid. However, there

must be a minimum license fee payment of $250 for a general

or limited SCAT license.

Comptroller of Maryland

Field Enforcement Division

Regulatory &

Licensing Section

P.O. Box 2999

Annapolis, MD 21404-2999

410-260-7314 or

800-MD-TAXES

ATT@

marylandtaxes.gov

www.marylandtaxes.gov

Page 5

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