Form Abc-825 - Request For Public Function
Download a blank fillable Form Abc-825 - Request For Public Function in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Abc-825 - Request For Public Function with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Kansas Department of Revenue
Alcoholic Beverage Control Division
915 SW Harrison Street
Topeka, KS 66625-3512
Phone: 785-296-7015 Fax: 866-855-5025
REQUEST FOR PUBLIC FUNCTION
Class A or Class B clubs wanting to use part of their licensed premises for a public event must first get approval from the Director of
ABC. For approval, complete and return this form to the address or fax number above. Your request must be received by the ABC
Director at least 10 days prior to the public function.
Licensee Information:
Licensee DBA Name
License Number
Address
City
State
Requestor Name
Requestor Title
Phone Number
E-mail Address
Public Function Information:
Type of Public Function:
Conducted by Whom:
Date(s) of Public Function:
Time(s) of Public Function:
Date
Time
Normal club activities will resume:
Diagram:
Draw in the space below, in ink, a complete sketch of your licensed premises and shade the area which you are seeking
approval of a public function. The diagram must include all entrance, exit and interior doors, walls, etc.
I understand that no alcoholic liquor or cereal malt beverage may be sold, dispensed or consumed by anyone in the area
described during the time(s) indicated.
Under penalties of perjury, I declare the information contained in this document a true, accurate and complete
disclosure of information.
Requester Signature
Date
ABC Office Use Only
Received less than 10 days in advance of event. May be subject to administrative action.
APPROVED
Notified Licensee via:
Email
Fax
Mail
Signature of ABC Official
Date
DENIED
Notified Enforcement via email:
Yes
ABC-825 (Rev. 10.5.12)
Clear Form
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial