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The Washington Liq 365 form is an essential document for individuals seeking to obtain an agent's license in the state of Washington. This straightforward application requires basic information about both the applicant and their represented company, ensuring a clear and organized submission process. A fee of $25 accompanies the application, with licenses expiring on June 30th each year, necessitating timely renewals. The form includes important sections that gather details such as the full legal name of the company, the agent’s personal information including date of birth and contact details, and any potential conflicts of interest. Applicants must disclose financial interests related to businesses dealing in the retail sale of alcoholic beverages, which is vital for maintaining compliance with state regulations. Additionally, the form emphasizes adherence to the Washington State liquor laws, clearly stating that any misrepresentation could result in serious repercussions, including denial or revocation of the license. Providing transparency and accountability, the Washington Liq 365 form plays a crucial role in the liquor licensing process, promoting responsible practices within the industry.

Washington Liq 365 Example

Licensing and Regulation PO Box 43098 Olympia WA 98504-3098 Phone: (360) 664-1600 Fax: (360) 664-4054 www.liq.wa.gov

For Office Use Only

Date:

Check No.

Amount Rec’d

Rec’d By

Application for Agent’s License

$25 Fee

Agent’s Licenses Expire June 30th

To Be Completed by Applicant Company

 

Full Legal Name of Company or Corporation Represented by Agent

License No. of Company

 

 

 

 

 

 

Address (City, State, Zip Code)

E-mail address

Telephone No.

 

 

 

 

 

 

 

 

 

 

To Be Completed by Agent

 

 

 

 

 

 

 

Agent’s Name (First, Middle, Last) Please print

Date of Birth

 

 

 

 

 

 

 

 

 

Agent’s Business Address (if different from applicant company)

 

Telephone No.

 

 

 

 

(

)

 

 

 

 

 

 

 

Do you hold any other job or engage in any other employment with or without pay?

If yes, please explain:

yes

no

Do you have any financial interest of any nature whatsoever in any business involved in the retail sale of beer, wine, or spirituous liquor (including lessor or landlord interests in building; or being a holder of a note,

 

mortgage contract, or other forms of obligations or credit arrangements)?

yes

no

 

If yes, please explain.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

To Be Completed by Applicant Company and Agent

In making this application we agree, if application is approved, to abide by the provisions of the Washington State liquor laws and regulations, with particular reference to RCW 66.24.310, WAC 314-44-005, and WAC 314-12-140. We understand a misrepresentation of fact shall be deemed a lack of good faith and shall constitute good and sufficient cause for disapproval, revocation, or suspension of the license.

Agent’s Signature

 

Date

 

 

 

Company Authorized Signature

 

Date

 

 

 

If you have any questions or need assistance, please call (360) 664-1600 Select option 2

LIQ 365 8/11

Form Characteristics

Fact Name Details
Purpose The Washington Liq 365 form is used to apply for an agent's license for businesses involved in the retail sale of alcoholic beverages.
Application Fee The fee for submitting the application is $25, which must be paid upon submission.
Expiration Date Agent's licenses issued under this form expire annually on June 30th, requiring renewal if continued operation is desired.
Governing Laws The application is governed by Washington State liquor laws, specifically RCW 66.24.310, WAC 314-44-005, and WAC 314-12-140.
Misrepresentation Consequences Any misrepresentation in the application can lead to disapproval, revocation, or suspension of the license, reflecting a lack of good faith.

Guidelines on Utilizing Washington Liq 365

When filling out the Washington Liq 365 form, it is essential to provide accurate and truthful information. This form includes sections for both the applicant company and the agent, requiring details such as names, addresses, and any financial interests related to the retail sale of alcoholic beverages. Carefully following the steps outlined below will help ensure a smooth application process.

  1. Gather all necessary information about your company and yourself, including full legal names, addresses, and contact details.
  2. Begin by entering the Company Information:
    • Full Legal Name of Company or Corporation Represented by Agent
    • License Number of Company
    • Address (City, State, Zip Code)
    • Email Address
    • Telephone Number
  3. Proceed to the Agent Information section:
    • Agent’s Name (First, Middle, Last)
    • Date of Birth
    • Agent’s Business Address (if different from applicant company)
    • Telephone Number
  4. Answer the employment questions:
    • Do you hold any other job or engage in any other employment with or without pay? Indicate "yes" or "no" and provide an explanation if "yes."
    • Do you have any financial interest in any business involved in the retail sale of beer, wine, or liquor? Again, indicate "yes" or "no" and provide an explanation if applicable.
  5. Complete the agreement section by confirming understanding of Washington State liquor laws and regulations.
  6. Sign the form in the designated areas:
    • Agent’s Signature and Date
    • Company Authorized Signature and Date
  7. Double-check all entries for accuracy and completeness before submission.
  8. Submit the form along with the required $25 fee to the address provided: Licensing and Regulation, PO Box 43098, Olympia WA 98504-3098.

Remember, ensuring that all information is accurate and truthful is crucial for a successful application. If you encounter any issues or have questions during the process, do not hesitate to reach out for assistance.

What You Should Know About This Form

What is the Washington Liq 365 form?

The Washington Liq 365 form is an application used to apply for an Agent’s License in the state of Washington. This license is necessary for individuals representing businesses involved in the retail sale of alcoholic beverages, such as beer, wine, and spirits. The form collects essential information about both the applicant company and the agent seeking the license.

What is the cost to apply for the Agent’s License?

The application fee for the Agent’s License is $25. This fee must be submitted along with the completed form. Ensure that you have the correct payment method and that it is sent with the application to prevent any delays in processing.

What information do I need to provide as an applicant?

As an applicant, you must provide the full legal name of the company or corporation you represent, the license number of that company, its address, email, and telephone number. This information helps the licensing agency verify the legitimacy of your business before granting the license.

What do I need to include as an agent on the form?

As an agent, you'll need to include your full name, date of birth, and business address if it differs from that of the applicant company. Additionally, your telephone number will be required to facilitate communication regarding your application. It's essential that you provide accurate information to ensure a smooth application process.

Are there any employment disclosure requirements on the application?

Yes, there is a section that inquires about other jobs or employment you may hold, regardless of whether they are paid or unpaid. If you answer 'yes,' you will need to provide explanations. This transparency helps the licensing authority assess any potential conflicts of interest.

What happens if I provide false information on the form?

Providing false information can jeopardize your application. Misrepresentation is considered a lack of good faith and may lead to the disapproval, revocation, or suspension of your license if granted. Honesty is crucial throughout the application process.

How can I get assistance if I have questions about the form?

If you have any questions or require assistance while filling out the Washington Liq 365 form, you can call the Licensing and Regulation office at (360) 664-1600. When prompted, select option 2 for support. They are available to help guide you through the application process.

Common mistakes

When filling out the Washington Liquor Control Board's LIQ 365 form, it’s easy to make simple mistakes that can delay the licensing process. One common error is not providing the full legal name of the company. Applicants often write abbreviations or incomplete names, which can lead to confusion. Make sure to include the complete legal name as it appears on official documents.

Another mistake frequently seen is misspelling or incorrectly entering the agent's name. The form requests the agent’s name in a specific format—first, middle, and last. Skipping the middle name or switching the order can cause issues later. Ensure that the name is accurate and clearly printed.

Providing inaccurate contact information is also a common oversight. Applicants sometimes list a phone number or email address that is wrong or outdated. This can lead to missed communications. Double-check this information to ensure the licensing department can reach you easily.

Many applicants overlook the employment question about holding any other jobs. It’s essential to answer this honestly. If you have other employment, not disclosing it could lead to complications down the line.

Another area where mistakes can occur is under the financial interest question. People may mistakenly think they have no financial interest when they actually do, or they may not provide enough explanation when answering. Be thorough in your response to avoid potential problems.

Skipping the signature can also cause delays. Each form must be signed by both the agent and an authorized company representative. A form without these signatures will be considered incomplete and returned.

Lastly, missing the fee payment can halt processing. Make sure to include the proper payment amount and check that it’s correctly noted when submitting the application. Addressing these common mistakes can make the process smoother and help you get your Agent’s License more quickly.

Documents used along the form

When applying for an agent’s license in Washington State, various forms and documents complement the Washington Liquor Control Board's LIQ 365 form. Each of these documents plays a vital role in ensuring compliance with state regulations, aiding in the proper review and processing of the application. Below is a list of commonly used forms alongside a brief description of each.

  • Washington State Liquor License Application (LIQ 100): This primary form is required for businesses seeking a liquor license. It collects detailed information about the business, ownership structure, and operational plans. Proper completion is essential as it forms the foundation for any subsequent applications.
  • Background Investigation Release (LIQ 133): This document allows the state to conduct a thorough background check on the applicant and any key personnel involved. Information regarding criminal history, financial liabilities, and other relevant data is gathered here, ensuring that all individuals meet the integrity standards set by the state.
  • Affidavit of Financial Interest (LIQ 145): Required from individuals involved in the business, this form outlines any financial interests related to the liquor business. It confirms transparency and helps prevent potential conflicts of interest, a crucial aspect given the complexities of the liquor industry.
  • Business License Application Supplement: This supplementary document may be needed depending on the business's structure and location. It ensures compliance with local regulations and permits, often detailing zoning requirements, health permits, and tax obligations.

Understanding these forms and their purpose can facilitate a smoother licensing process. Each document supports the Washington State Liquor Laws, protecting both the business and the community. Proper submission of all relevant forms helps to establish a strong foundation for compliance and successful operation in the liquor retail environment.

Similar forms

The Washington Liq 365 form, used for applying for an agent's license for liquor sales, shares similarities with several other documents. Each document serves a distinct purpose but has overlapping components in terms of licensing, regulation, and confirming eligibility. Below is a list of eight documents that have similarities with the Washington Liq 365 form:

  • Business License Application: Similar in that both require official company names, addresses, and contact information. They also detail compliance with state laws.
  • Alcohol Beverage License Application: Like the Washington Liq 365, this document requires information on the applicant and business, specifically focusing on alcohol regulations and obligations.
  • Food Handling Permit Application: Both documents request personal information and backgrounds of those involved, addressing health compliance standards.
  • Occupational License Application: They share a focus on the applicant’s roles and responsibilities, including disclosures about other employment or financial interests.
  • Professional License Application: Similar in format, requiring verification of identity, qualifications, and compliance with specific regulations related to the profession.
  • Certificate of Registration for a Corporation: This document contains details about the corporation, similar to business-specific requirements found on the Washington Liq 365 form.
  • Dealer License Application: Both applications demand information about business ownership and operations, emphasizing legal adherence for selling regulated products.
  • Permit Application for Special Events: Like the Washington Liq 365, this application involves attendees’ and organizers’ compliance with local regulations to serve alcohol at events.

Dos and Don'ts

Filling out the Washington Liq 365 form correctly is crucial for a smooth application process. Here’s a list of things to keep in mind:

  • Double-check your information: Ensure all details are accurate before submission to avoid delays.
  • Use clear handwriting: If filling out the form by hand, write legibly to ensure your details are easily readable.
  • Follow the instructions: Adhere to the guidelines provided in the form. Each section has specific requirements.
  • Provide your email address: This allows for communication regarding the status of your application.
  • Include all required signatures: Both the agent and company authorized signatory must sign the form.
  • Do not leave any fields blank: Fill out every section as incomplete applications may be rejected.
  • Avoid using abbreviations: Write out all names and titles fully to prevent confusion.
  • Don’t forget the fee: Ensure that you include the required $25 fee with your application.
  • Refrain from providing false information: Misrepresentations can lead to disapproval or even legal issues.
  • Do not submit without reviewing your answers: Take the time to look over your completed form for any mistakes.

By following these guidelines, you can help ensure that your application for the agent's license goes smoothly. Remember, attention to detail pays off!

Misconceptions

Misconceptions about the Washington Liq 365 form can lead to confusion for applicants. Here are five common misunderstandings along with clarifications.

  • Anyone can apply for an Agent's License. It's important to know that only designated agents of a licensed company can apply. Individuals who are not affiliated with a company cannot submit this form.
  • The fee for the application is refundable. Many people assume that the $25 fee can be returned if the application is denied. Unfortunately, this fee is considered non-refundable, regardless of the outcome.
  • All agents need to hold prior liquor licenses. A common misconception is that applicants must have held other liquor licenses before applying for this particular license. In fact, having prior licenses is not a requirement to submit the Washington Liq 365 form.
  • The application process is the same for all types of liquor licenses. Not all liquor license applications follow the same steps. This specific form is solely for an Agent's License, which has its own unique requirements and processes.
  • Providing false information is minor and will not affect the application. Many individuals believe that minor misrepresentations can be overlooked. However, any inaccuracies can lead to serious consequences, including denial or revocation of the license.

Understanding these points can help streamline the application process and ensure compliance with state regulations.

Key takeaways

Here are some important points to remember about filling out and using the Washington Liq 365 form:

  • Complete All Sections: Be thorough when filling out the form. Include all required information about both the agent and the company they represent. Missing details can delay the application process.
  • Check for Accuracy: Double-check names, addresses, and other information. Errors or misrepresentations could lead to your application being denied.
  • Know the Fees: There is a $25 application fee. Ensure you include payment when you submit the form to avoid delays.
  • Application Validity: Remember that agent licenses expire every June 30th. Plan ahead and renew on time to keep your license valid.