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Saturday, October 25, 2014
Liquor and Gaming: Forms

Required Privileged Business License Application Forms

Clark County Business License Application Form
The Clark County Business License Application Form is the first document required for all privileged business license applications submitted to our office.   Please review the Privileged Business (Liquor & Gaming) Application Packet for all the additional requirements.

Did you know that you can apply online?  First, follow our 10 Easy Steps to the online application then proceed to the instructions below. 

Privileged Business (Liquor & Gaming) Application Packet
PRIVILEGED BUSINESS LICENSE APPLICATION PACKET –Instructions, Checklist and Forms
All applicants for a Privileged Business License must complete the application and investigation forms in this packet, the supplemental documentation and business license and investigation fees, as applicable. To be submitted to our office This packet is comprised of the following:

The Privileged Business (Liquor & Gaming) Application Packet can be accepted by appointment only. Please call us at (702) 455-4125 for scheduling.

Description of Privileged Business (Liquor & Gaming) Application Packet Forms

  1. Privileged Business License Instructions, Checklist and Forms
    To start the application process, read the privileged business license instructions. Return the completed Checklist with your application packet. MAKE SURE TO PROVIDE ALL THE REQUIRED FORMS SUPPLEMENTAL DOCUMENTATION AS OUTLINED IN THE CHECKLIST AS INCOMPLETE APPLICATIONS CANNOT BE ACCEPTED.
  2. Application for Alcoholic Liquor License
    The Application for Alcoholic Liquor License is required for all applicants for a liquor license in the unincorporated areas of Clark County (not within city licensing jurisdictions). If you do not know if your business location is in the jurisdiction of the Clark County Department of Business License, you may refer to the Jurisdiction Locator.
  3. Application for Gaming License
    This three (3) page Application for Gaming License is required for all applicants for a gaming license in the unincorporated areas of Clark County (only the first page is required for gaming locations within incorporated city licensing jurisdictions).
  4. Request for Temporary Liquor/Gaming License
    The proposed new owner of an established, licensed, and operating business with a liquor license may request the Department of Business License to issue a Temporary Liquor/Gaming License to protect the goodwill of the business with their existing clientele.
  5. Privileged/Regulated Business Supplemental Questionnaire (BSQ)
    The Business Supplemental Questionnaire must also be completed. It is used it to provide information about the Business Entity, ownership, officers, and source of funds and other information relevant to the Investigation process. BE SURE TO PROVIDE ALL THE SUPPLEMENTAL DOCUMENTATION AS OUTLINED IN THIS QUESTIONNAIRE AS INCOMPLETE DOCUMENTATION CAN RESULT IN APPLICATION PROCESSING DELAYS.
  6. Floor Plan
    An interior diagram or floor plan of your business on an 8-1/2 x 11 sheet of paper is required. Indicate the total size of location in square feet and the total number of restaurant and bar seats. Include location of store room, cash register, slot machines, restrooms, kitchen, dining tables, bar, etc. (including location and description of physical barriers between restaurant/dining areas and any bar/lounge areas.
  7. Business License Waiver
    The Business License Waiver Form is required, due to the high volume of investigations completed by the Department of Business License and Las Vegas Metropolitan Police Department.  We are unable to predict when an applicant’s determination of suitability will be completed and ready for presentation to the Liquor and Gaming Licensing Board for action.  Nevada state law requires that applicants be notified, in writing, at least 21 working days prior to being included on a public agenda. In most cases, the Department and Metro are prepared to present cases to the Board under that 21-day window, so we ask that applicants waive that 21-day window so as to better serve their interest and enable us to place their item on the next available agenda.
  8. Personal History Form (PHF)
    Each applicant for a privileged business license will be required to complete a Personal History Form detailing their personal history, including personal references, legal history, family connections and history, and past residence information. This form requires notarized signatures in several places.
  9. LVMPD Authorization to Release Information Forms
    TWO original, signed and notarized Las Vegas Metropolitan Police Department Authorization to Release Information forms are required.
  10. Personal Financial Questionnaire
    Each Owner with ten (10) percent or more financial interest in the licensee must complete and provide the Las Vegas Metropolitan Police Department Personal Financial Questionnaire, with notarized signatures (one (1) original and one (1) copy). Provide documents showing source and availability of your personal funds invested and loan documents, if applicable. Documentation of secured funding must be available at the time of application. Letters of Intent will not be accepted and will delay the processing of your application. Two (2) copies of the applicant’s past three (3) years of federal income tax filings and last three (3) months of bank statements are required for each person required to file this form.
  11. Corporate Financial Questionnaire
    Any privileged businesses that are owned by an entity registered with the Secretary of State will be required to complete the Corporate Financial Questionnaire form detailing the financial history, including bank accounts, investments and past income tax information. This form requires notarized signatures in several places. A copy of the entities past three (3) years of federal income tax filings and last three (3) months of bank statements are required to be attached to this form.  
  12. Metro Application Memo/Instructions 
    Additional information from the Las Vegas Metropolitan Police Department on completing their required forms (PHF, PFQ, CFQ), fingerprinting requirements, how to apply for work cards, alcohol awareness training and health cards.

OTHER PRIVILEGED BUSINESS Forms and Information

Liquor Summary
The Liquor License Summary Information provides the main types of businesses and accompanying liquor licenses available to those businesses in a two (2) page handout.

Gaming Summary
The Gaming License Summary information provides the main types of businesses and accompanying gaming licenses available to those businesses in a two (2) page handout. 

Key Employee Forms
Key Employees (individuals who have the power to exercise a significant influence over decisions concerning any part of the operation of a liquor and gaming establishment) must fill out these forms. You will be redirected to the Key Employee Forms page.

Liquor and Gaming Miscellaneous Forms
You will be redirected to the Liquor and Gaming Miscellaneous Forms page. This page includes the following: 
                    Application/Permit for Alcoholic Beverage Tasting 
                    City Jurisdiction Gaming Application 
                    Gaming Location Suitability 
                    Liquor and Gaming Location Suitability 
                    Liquor Caterer Event Permit 
                    Liquor Location Suitability 
                    LVMPD Investigation Referral for Adult Entertainment Cabaret 
                    Request to Surrender Gaming License Form    
                    Request to Surrender Liquor License Form
                    Request for Temporary Liquor License 
                    
Special Event Permit 
                    Transfer of Interest Among Licensees            

Other Business License Forms
You will be redirected to the Other Business License Forms page. This page includes, but is not limited to, the following: 
                    Change Form Packet 
                    Complaint Form 
                    Fictitious Firm Name (DBA) Form
                    Out of Business Form 
                    Request for Duplicate License Form 
                    Request for Public Records Form 
                    Request for Refund Form