Form Bpr 44-015 - Application To Return Alcoholic Beverages Form printable pdf download

Form Bpr 44-015 - Application To Return Alcoholic Beverages Form

DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION

DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO

1940 North Monroe Street • Tallahassee, Florida 32399-1022

APPLICATION TO RETURN ALCOHOLIC BEVERAGES

(Not Required For Stock or Code Rotation Authorized by Law)

I request permission to return alcoholic beverage products to the wholesaler after the 5-day return limitation has expired.

Business Name

License Number

License Type

Phone Number

Business Address (street and city)

Mailing Address

Contact Phone Number(s)

CHECK THE APPROPRIATE BOXES:

Product is spoiled

Merchandise recalled by manufacturer

Bankruptcy

Merchandise not ordered

Business has closed

Bottles broken during delivery

Defaced or damaged containers

Unlawful containers

End of season return, if products will be

Other

Specify

out of code when the business reopens

Name and Address of Wholesaler Picking Up Product

Authorized Person

Making Request

Printed Name/Title

Signature

Date

Recommended Approval:

Yes

Printed Name/AB&T Supervisor

Signature

Date

Approval by the Division of Alcoholic Beverages and Tobacco does not require the wholesaler to comply with the request (after the 5-

day limit has expired).

List product(s) to be returned and date product(s) was (were) purchased, or attach actual invoice(s). Use other side for additional

spaces.

BPR 44-015

REV. 08/2001

Form Bpr 44-015 - Application To Return Alcoholic Beverages Form