Get Plcb 868

Completing the Plcb 868 form is an essential step for individuals involved in changes to licensing and officer roles within Pennsylvania's liquor control framework. This guide provides a clear and supportive walkthrough to help you fill out the form accurately and efficiently.

Follow the steps to successfully complete the Plcb 868 form online.

1. Press the ‘Get Form’ button to retrieve the form and display it on your screen for completion.
2. Begin filling out the form by entering the name of the applicant or licensee in the designated field. Ensure that this is filled out clearly and accurately.
3. In the next section, provide the trade name, if applicable. If no trade name exists, you may leave this blank.
4. For the address of the premises, fill in the complete address, including street, rural route, or P.O. box number, along with the city, state, and ZIP code.
5. Identify the subject of the record check by entering their full name (last, first, and middle) in the respective fields.
6. Provide the social security number of the individual subject to the record check in the specified field. Ensure that this is accurate to avoid any issues.
7. Complete the request with the maiden name and any aliases that the individual may have.
8. Enter the date of birth and the sex of the individual in the fields provided.
9. Sign the form in the designated area, ensuring the signature matches the name provided in the earlier sections.
10. Fill in the home address and provide a phone number where you can be reached for further inquiries.
11. Before finalizing, refer to the requester checklist on the form to ensure all required information has been filled out correctly.
12. Once completed, mail the form along with the $10.00 fee (check or money order) payable to “PLCB” or “Commonwealth of PA” to the Pennsylvania Liquor Control Board, Bureau of Licensing, P.O. Box 8940, Harrisburg, PA 17105-8940.
13. Finally, decide how to keep the form by saving any changes, downloading for your records, printing a hard copy, or sharing it as needed.

Complete the Plcb 868 form online today and ensure your licensing process is seamless.