Operator License Application

Municipal Code, Chapter 399

Application Process

  • Complete the following application accurately - copies are also available or in the Clerk's Office.
    • If you are unsure about how to respond to any questions on this form, check with the City Clerk for clarification.
  • Applicant must submit either as uploads in the following application, emailed to clerk@richalandcenterwi.gov, or delivered to the Clerk's Office
    • A current driver's license
    • Certificate from beverage serving training course
      • Not required if you have a current Operator License
  • $25 is required prior to issuing the license - online payments are accepted

Review of your application

  • The Richland Center Police Department will perform a background check to verify the information you have provided.
  • The city may require that additional information, appropriate to the specific type of license requested, be submitted with this application or as a supplement to this application prior to consideration of license issuance.
  • The Safety Committee will review your application for approval at the next regular monthly meeting.
  • Licenses expire on June 30th of the following year the license is issued
Applicant Information
Gender *
Race *
if different than above
maiden name or aliases, etc.
Employment Information
if applicable
Infraction History
Have you ever been convicted of any felony or misdemeanor crime? *
Do you currently have any felony or misdemeanor charges pending against you? *
Have you ever been convicted of operating a motor vehicle while intoxicated? *
Have you ever been convicted of any violations relating to the sale of alcoholic beverages? *
Include: Year, Charge, and Court Location
At the time of the incident were you under the influence of alcohol and/or other drugs?
Did the incident occur in or around an establishment that serves alcohol?
Include: Year, Charge, and Court Location
At the time of the incident were you under the influence of alcohol and/or other drugs?
Did the incident occur in or around an establishment that serves alcohol?
The undersigned, by signing this application, hereby certify that all the above information given by me is true and correct and understand that any false or incomplete information could result in denial of a license; and I hereby certify that I am 18 years of age or older and am familiar with the laws of the state of Wisconsin and the ordinances of the City of Richland Center relating to the alcohol beverages and I agree that, if granted said license, I will obey all such laws and ordinances. I further certify I understand that failure to fully complete and accurately fill out the required information on this form may result in the automatic denial of this application.
Applicant must provide the following items to complete the application:
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc.