Get Provisional Permit Request - Ct.gov

Filling out the Provisional Permit Request is the first step towards obtaining a liquor permit in Connecticut. This guide will provide clear, step-by-step instructions on each section of the form to assist you in completing it successfully.

Follow the steps to complete your Provisional Permit Request online.

1. Press the ‘Get Form’ button to access the Provisional Permit Request form and open it in your preferred document editor.
2. Begin by entering your name in the space provided, where it states 'I, ________________________________________,'. This is the name of the applicant who is submitting the request.
3. Fill out the date on which you are completing the request. This date should reflect the day you access the form.
4. In the section labeled 'Applicant/Backer', you need to provide the name of the individual or entity that is requesting the provisional permit.
5. Acknowledge your understanding of the additional fee of $500 by reviewing the statement provided in the form regarding the provisional permit issuance.
6. If you are requesting a credit waiver, fill in your name again in the credit waiver section. Ensure you understand that proof of fiscal responsibility of the backer is required.
7. Document the date in the credit waiver section as well.
8. Provide your name once more in the 'Applicant/Backer' section of the credit waiver notice.
9. After filling out all relevant sections, review the document thoroughly to ensure all information is accurate and complete.
10. Finally, save your changes, and choose to download, print, or share the form as necessary for submission.

Take the next step and complete your Provisional Permit Request online today.