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2022 Operator (Bartender) License Application (includes provisional)

  1. Two Year Operator (Bartender) License Application*
    Please note any background result information that would otherwise result in a rejection of the application is sent to the person named on the application - meaning, if your employer applies for you - they may be privvy to your background check information. Licenses are not employer specific and can be used at any establishment in the Village.
  2. Applicant's Checklist


  3. No PO Box numbers
  4. You must include an upload of your Driver License.
  5. You must include an email address. Your license will be sent to your email. This will allow you to provide the license to whomever you need any time you need.
  6. If you would like a copy also sent to your manager, please include their email here. This is not required.
  7. Have you Completed and Passed the Wisconsin Responsible Beverage Server Training Course?*
    The Server's Training Course is NOT required for Temporary License Applicants.
  8. Have you ever been issued an Operator's License before?*
  9. Enter the approximate start date of your license.
  10. Required*
  11. Has your license ever been any of the following?*
  12. Date/Municipality
  13. Is this part of an event?*
  14. Acknowledgement
    I, the undersigned, do hereby respectfully make application to the local governing body of the Village of Elm Grove, County of Waukesha, Wisconsin, for an "Operator's" license as provided by Section 125.17 of the Wisconsin Statutes, for the licensing year ending June 30 each year. I certify that I am eighteen years of age or older. I am familiar with the laws, ordinances and regulations and I hereby agree if granted said license, to obey all provisions of said laws. I understand that all of my answers on this information sheet will be considered in connection with my license applications. I also understand that all answers herein are made under oath, and that false swearing is a crime as defined in Section 939.12 of the Wisconsin Statutes. Licenses may be revoked by the Village if the licensee violates the law or if he or she fails to comply with state statutes or city ordinances, or if any answers contained in the application or in this information sheet are false. I understand incomplete and incorrect information may lead to the denial of this license.
  15. By Submitting this form, you have read and understand the information in this application and will adhere to all rules and regulations set forth by the Village of Elm Grove and the State of Wisconsin. You also understand your license can be withdrawn for any violation by the Village of Elm Grove or the State of Wisconsin.
  16. Leave This Blank:

  17. This field is not part of the form submission.