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License Application Forms

No application are being accepted April 29 - May 6th while we transition to our new software.  Applications can be submitted online on May 6th at 8:00am.  See the training videos here - https://lcc.nebraska.gov/customer-portal-training-videos

If you have any questions please click on the name to email or call: Hannah at 402-471-2735 or Corrinne at 402-471-2896

For questions regarding Special Designated Licenses (SDLs) contact Shelly at 402-471-2821 or Victoria at 402-471-4893.

Alcoholic Liquor Tax Bond Tax Bond.pdf 53-164.01
Affidavit of Non-Participation Affidavit of Non-Participation.pdf Rule Chapter 2 05.01(B)
Change/Update LLC Members or Corporate Officer/Stockholders CORPORATION-LLC STRUCTURE.pdf 53-12553-131.01
License Fee Schedule Form 123 - License fee chart.pdf 53-124.01
Temporary Operating Permit Temporary Operating Permit.pdf 53-117; 53-149; Rule Chapter 2 04.01(A)(B), 04.02(A)
Waiver within 150' of church Church within 150' waiver.pdf 53-177; Rule Chapter 2 12.05
Waiver within 300' of campus Campus within 300' waiver.pdf 53-177.01Rule Chapter 2 12.02, 12.03, 12.04
Authorization to Conduct Inspection on Tribal or Indian Land 143 JULY 2015 TRIBAL INSPECTION.pdf  
Transfer of Alcohol - Retailer to Retailer 144 AUGUST 2017 Transfer of Alcohol - Retailer to Retailer.pdf 53-123.0453-175; Rule Chapter 2, 03.01-0302
Hardship Status 145 Hardship Status Request.pdf Rule Chapter 7 - 20.2004
Fingerprint Submission Privacy Act Fingerprint Submission - Privacy Act Statement.pdf 53-131.01
Alcohol Inventory Alcohol Inventory.pdf