Form Abc-830 - Temporary Permit Application And Agreement Instructions (Page 3 of 6) in pdf

Form Abc-830 - Temporary Permit Application And Agreement Instructions Page 3

Kansas Department of Revenue

Alcoholic Beverage Control Division

915 S.W. Harrison Street, Room 214

Topeka, KS 66625-3512

Phone: 785-296-7015 Fax: 785-296-7185

Temporary Permit Application Instructions:

1. Check the appropriate box for the temporary event type. If you selected a Special Event, you must also attach a copy of the ordinance or

resolution.

2. Check the appropriate box for the temporary event length.

3. Section 1. Complete the applicant information.

4. Section 2. Complete the event information. The event cannot be held at a location that has a valid state issued liquor license or Cereal Malt

Beverage (CMB) license

5. Section 3. Complete the purchase information.

6. Section 4. Take your completed form to the appropriate city, township or county clerk to complete the Certificate of City,

Township or County Clerk. The application must have the appropriate clerk’s seal and approval.

7. Section 5. Complete the Background qualification questions.

8. Section 6. Draw a diagram of your proposed On-Premise or Special Event area.

9. Read the application agreement.

10. Sign the form and print your name. Enter the date and your title.

11. Return the completed form to the ABC Marketing Unit at the address on the form with the correct payment. Payment must be a

cashier’s check from any bank within Kansas; or, a U.S. Postal Money Order.

To obtain additional information on Temporary Permits, visit our website at:

You may direct your questions to the Marketing Unit at 785-296-7015 or email to

ABC.Marketing.Unit@kdor.ks.gov

Detach and Return with Payment

KANSAS ALCOHOLIC BEVERAGE CONTROL DIVISION

Temporary Permit Fee Voucher

Sponsor Name: _________________________________________________________________________

Certified or Cashier’s check from any bank within Kansas; or, U.S. Postal Money Order enclosed (CLPR)

1 Day Permit – $25.00

2 Day Permit – $50.00

3 Day Permit – $75.00

Special Event Only – Number of Consecutive days (up to 30):_________ X $25 per day = $ _________ Total Due

ABC-830 (Rev. 7.1.12)

Page 3 of 6

Form Abc-830 - Temporary Permit Application And Agreement Instructions Page 3