File Petition to Intervene (Application File Number 828611)
Please provide the following information as completely and accurately as possible..

Click Here for further instructions on Protests and Petitions to Intervene.

All protests and petitions to intervene must be filed and submitted through the online filing process.

My information
First Name:
Last Name:
Contact information
Preferred Contact Method:
Phone Number:
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Alternate Phone Number:
 )   - 
Fax Number:
 )   - 
Email Address:
Mailing Address:
Physical Address:
(same as Mailing)
A protest can be filed by an individual residing within 500 feet of a proposed licensed location; a church, school, hospital, public playground, or charitable institution located within 300 feet; or another licensee within 200 feet of the proposed licensed location.

Generally, a petition to intervene can be filed by anyone else objecting to the transfer or approval of a license. If the transfer is a change in ownership you must file a petition to intervene and not a protest.

Please NOTE, if you are filing a petition to intervene, it must be served properly. To serve a petition properly, a copy must be provided to person(s) filing the application or the person representing the applicant.

Before you submit, you must PRINT your document in order to obtain a copy of your Protest or Petition.

I am filing a:
Petition to Intervene
Petition To Intervene
In order to file a petition to intervene, please describe how you will be directly aggrieved:
A copy of the petition to intervene must be provided to the applicant or their representative.
Name of person served:
How were they served?
Code: Enter the code you see below.
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Press the button below to submit your petition to intervene for processing.
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