Application For Product/label Registration Page 2
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1
2SPECIFIC INSTRUCTIONS / DOCUMENT CHECKLIST
FOR PRODUCT / LABEL REGISTRATION
Your application may be returned if you do not comply with or submit the following:
Enter the company name and current mailing address. A telephone number
Name, address, telephone #
and/or email address must appear on the application in case any clarification is
and contact person
needed.
The application MUST be executed and filed by the person, firm, or
Filing of Application
corporation that will bottle or import the beer, malt beverage, wine, or mixed
beverage.
Type of Application
Check the appropriate box: “New” or “Revision.”
Provide the alcohol content for all product types (Item #5). Alcohol content
Alcohol Content
for all product types MUST be shown as % of alcohol by volume.
Federal Certificate of Label Approval (COLA) from the U.S. Department of
Federal Certificate
Treasury, Alcohol and Tobacco Tax and Trade Bureau (TTB) MUST be
submitted for all applicable products.
This form is required to designate a wholesale distributor and specify the
Territory Designation (DLC 1539)
exclusive sales territory for all products registered by a manufacturer or
supplier. If the applicant is also the holder of an S permit issued by the
State of Ohio, and will not sell its products through an Ohio wholesale
distributor, it is not necessary to submit this territory designation form.
If the applicant is importing a product for a foreign or domestic (US)
Supplier Appointment Letter
manufacturer, submit a letter from the manufacturer appointing the applicant
as their importer or designated agent.
Glue one complete set of labels for which approval is requested to the
Label Information - MUST
front of this application. If the labels are on can flats or on some other
accommodate Supplier
material for which gluing is impractical, affix one photo or electronic image to the
Application DLC1551
application.
Provide a $50.00 registration fee in the form of a company check, cashier’s
Fee Structure
check or money order, made payable to the Division of Liquor Control for
each product/label registered with the Division of Liquor Control .
Please complete this application in its entirety and attach all supporting documentation in order to avoid
having your application returned. If you have any questions please contact 614-644-2411. Submit your
completed application, accompanying documents, and fee(s) to the:
Ohio Division of Liquor Control
Attn: Beer and Wine Section
6606 Tussing Road
P.O. Box 4005
Reynoldsburg, OH 43068-9005
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