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Operator's License Renewal (Bartender)

  1. Gender*
  2. Have you ever been arrested, cited or convicted of charges related to activities performed while bartending?*
  3. Have you had any arrests, charges, or citations related to controlled substance or involving alcoholic beverages?*
  4. Have you been convicted of a felony?
  5. List all arrests, convictions, dismissals and pending cases from age 18 to present below (do not include speeding and parking violations). Please note: Failure to list all matters truthfully could result in the rejection of this application. A complete background check will be completed and compared to the information you provide on this application.
  6. How will you be paying?
  7. How would you like to receive your license:
  8. Leave This Blank:

  9. This field is not part of the form submission.