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In the realm of event planning within the state, the State 50184 form emerges as a critical document, navigating the complexities of catering events where alcoholic beverages are to be served. This form, as set forth by the State Excise Police, lays down a structured pathway for permittees holding an Indiana Alcoholic Beverage Permit to extend their service footprint beyond traditional premises through supplemental caterer's permits. The nuanced instructions encapsulated in the form guide applicants through a detailed application procedure, emphasizing the importance of clarity in information provision—from the permittee's identification details to the intricate aspects of the event being catered, including the event's location, duration, and the specific area designated for alcohol dispensation. Integral to this process is the submission of a floor plan, a requirement that serves not only regulatory compliance purposes but also ensures the safety and well-being of attendees, especially minors. Additionally, the form touches upon the broader responsibilities of the applicant, such as adherence to Department of Health regulations and the necessity of coordination with local law enforcement, underscoring the collaborative effort required to successfully and legally host an event where alcohol is served. With such comprehensive directives, the State 50184 form acts as a linchpin in balancing business interests with public safety and legal compliance.

Sample - State 50184 Form

CATERING AUTHORITY / TYPE 222

State From 50184 (6-01)

State Excise Police

INSTRUCTIONS:

1.

Applicant must complete all requested information.

 

2.

Please type or print clearly.

 

3.

Submit application to the local excise district office.

Send, deliver, mail, or fax to:

District #1 52422 County Road 17

District #4

651 S. Frontage Rd

Bristol, IN 46507

 

Seymour, IN 47274

Fax: 574-264-9348

 

Fax: 812-522-5681

District #2 1353 South Governors Drive

District #5

3650 S. US 41

Columbia City, IN 46783

 

Vincennes, IN 47591

Fax: 260-244-3830

 

Fax: 812-882-1386

District #3 279 W. 300 N.

District #6

6400 E. 30th St.

Crawfordsville, IN 47933

 

Indianapolis, IN 46219

Fax: 765-362-8817

 

Fax: 317-541-4104

STEP 1. PERMITTEE INFORMATION

Name of permittee (as it appears on your Indiana Alcoholic Beverage Permit)

 

DBA

 

 

Permit Number

 

 

 

 

 

 

 

 

Address (number and street, city, state, ZIP code)

 

 

 

 

 

 

Expiration date (month, day, year)

 

 

 

 

 

 

 

 

 

Printed name of contact person for permit

 

 

 

 

Fax Number

 

Emergency contact telephone number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

(

)

Printed name of contact person of event

 

 

Employee permit number

 

 

Emergency contact telephone number

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

STEP 2. EVENT INFORMATION (A SEPARATE REQUEST MUST BE SUBMITTED FOR EACH EVENT)

Beginning

 

 

Ending

 

 

 

 

 

 

Day _____________ Date ______________

Day ______________ Date ________________

To include Sunday

Does not include Sunday

Times of catered function:

AM

 

 

 

AM

Sunday event times (if applicable )

AM

AM

 

 

 

 

 

 

Start ________________

PM

End ___________________

PM

Start ________________

PM

End ___________________ PM

Type or description of event

Exact address of event (number and street, city, state, ZIP code)

STEP 3. FLOOR PLAN (SEE STEP 4, #2 )

STEP 4. ACKNOWLEDGEMENT

The following are guidelines for the approval of an event catered by a supplemental caterers permit:

1.The exact address of the proposed catered event must be disclosed upon the application form.

2.A floor plan of the designated licensed premises must be submitted along with the application form. There must be a well-defined premises, i.e., a building, a tent, an enclosure, a fenced in area, or a roped off area. The exact area from which the alcoholic beverages shall be dispensed must be listed on the floor plan. Areas where minors will be present must be so designated on the plans. No minors shall be allowed within the area where alcoholic beverages are dispensed. (Complete Step 3 )

3.Consumption of alcoholic beverages shall take place on the licensed premises only. There shall be no carry-out privileges.

4.Each applicant shall designate an individual responsible for the event. Such person shall possess an employee's permit and shall be available to the Excise Police during the event.

5.An Excise Officer has the authority to revoke approval of a catered event before or during the event for good cause.

6.The event must meet applicable Department of Health sanitation requirements, particularly with regard to restroom facilities.

7.All applications should be received a full fifteen (15) days prior to the event.

8.If the catered event is open to the public, the applicant shall notify the local law enforcement agency responsible for the area in which the catered function will be held. The Excise Police may ask for proof of notification to local police which may be demonstrated by a copy of a letter, a "log" entry by the police department, or other means deemed as an appropriate authentication.

9.The wholesaler servicing a supplemental caterer may deliver the alcoholic beverages directly to the location of the catered event if the supplemental caterer has his letter of authority posted at that location.

10.A supplemental caterers permit is to be used for a specific off premises function or event and not for a permittee to use any adjoining or remote facilities to enlarge or enhance his own business enterprises.

11. Have you?

Completed Step 3, a drawing of your proposed floor plans? Read and signed the catering guidelines?

Is thie event or function open to the public?

If this event or function is open to the public, you must notify local law enforcement agencies of your intent to cater this event, have you done so?

Yes

(see #2, 3 above )

Yes

 

Yes

No

Yes

(see #9 above )

1. Name of law enforcement agency notified

2. Name of law enforcement agency notified

Note:

Please post your approved request in a conspicuous place where the alcoholic beverages are being dispensed at the catered location.

If for any reason this request is denied, you may be notified either in person or by phone, and you will be notified by registered mail. (IC 7.1-3-9.5-2)

I swear or affirm under penalties of perjury that the information is true and accurate.

Signature of permittee / agent (Your signature acknowledges that you have read the rules and guidelines and that you agree to abide by those rules and guidelines.)

Date (month, day, year)

 

FOR DISTRICT USE ONLY

District number

Date issued (month, day, year)

Reviewed by (must be signed by district lieutenant or sergeant)

ApprovedDenied

Form Overview

Fact Detail
Form Number and Date State Form 50184 (6-01)
Authority Indiana State Excise Police
Primary Purpose Catering Authority Application
Submission Instruction Applicant must submit the form to the local excise district office via send, deliver, mail, or fax.
Key Guidelines for Approval Exact address disclosure, floor plan submission, and designation of areas where minors are allowed are among the requirements.
Notification Rule If the event is open to the public, the applicant must notify the local law enforcement agency.
Consumption Rule Consume alcoholic beverages on licensed premises only, with no carry-out privileges.
Governing Law IC 7.1-3-9.5-2

Guide to Filling Out State 50184

Filling out the State 50184 form is essential for those looking to host an event where alcohol is served off the premises covered by their Indiana Alcoholic Beverage Permit. This form facilitates the proper authorization from the State Excise Police to ensure all regulations are followed. The process can appear daunting, but by following these clear steps, applicants can ensure they submit a complete and compliant application.

  1. Gather all required information, including the permittee's details, the specifics of the catering event, and any additional documentation such as floor plans and notifications to law enforcement.
  2. Enter the permittee information in STEP 1:
    • Name of the permittee as it appears on your Indiana Alcoholic Beverage Permit
    • DBA (Doing Business As)
    • Permit Number
    • Address including number and street, city, state, ZIP code
    • Expiration date of your permit
    • Print the name of the contact person for the permit, including fax number and emergency telephone numbers
  3. Fill in event information under STEP 2:
    • Starting and ending days and dates of the event
    • Indicate whether the event includes or does not include Sunday
    • List start and end times of the catered function, including specific times if the event is on a Sunday
    • Type or description of the event
    • Exact address of the event location
  4. Complete STEP 3 by providing a detailed floor plan that adheres to the guidelines specified:
    • A clear demarcation of the event’s area within a building, tent, enclosure, fenced or roped-off area should be provided.
    • Identify the exact area where alcoholic beverages will be dispensed.
    • Areas where minors will be present need to be clearly marked, adhering to the rule that no minors are allowed where alcohol is served.
  5. Proceed to STEP 4 and ensure to:
    • disclose the exact address of the event
    • submit a floor plan of the premises
    • have a designated individual responsible for the event who holds an employee's permit
    • meet the set forth Department of Health sanitation requirements
    • submit the application fifteen (15) days before the event
    • notify local law enforcement if the event is open to the public and provide proof if required
  6. Confirm that you have completed all requirements by ticking the corresponding boxes under the acknowledgment section, sign the form, and add the date to certify the accuracy of the information provided.
  7. Choose the appropriate local excise district office based on your location and submit the application either through send, deliver, mail, or fax as per the provided addresses and fax numbers.

After submission, your application will be reviewed by the State Excise Police. Approval or denial of the application will be communicated, and approved requests must be conspicuously posted at the event location where alcohol is dispensed. It's vital to adhere strictly to the guidelines to ensure a smooth process and to avoid any legal issues during your event.

Frequently Asked Questions

What is the State 50184 form used for?

The State 50184 form is specifically designed for the application of a catering authority, also known as a supplemental caterer's permit, within the state. This permit allows individuals or entities to provide catering services that include the sale and consumption of alcoholic beverages at events located off the premises of their primary licensed location.

Who needs to fill out the State 50184 form?

This form must be completed by permittees holding an Indiana Alcoholic Beverage Permit who wish to extend their catering services to include alcoholic beverages at off-premises events.

What information must be provided on the State 50184 form?

Applicants must provide detailed information including the name of the permittee, the permit number, contact information, details of the specific event being catered (including dates, times, and location), and a floor plan indicating the area where alcohol will be served. Additionally, applicants must acknowledge their understanding and compliance with specific guidelines related to the event.

How is the State 50184 form submitted?

The completed form can be submitted to the local excise district office handling the applicant's area. Submission can be through sending, delivering, mailing, or faxing the form to the information provided for the respective district office.

Is there a deadline for submitting the State 50184 form?

Yes, all applications should be received by the applicable local excise district office a full fifteen (15) days prior to the event to ensure adequate processing time.

What happens if the catered event is open to the public?

If the event is open to the public, the applicant is required to notify the local law enforcement agency of their intent to cater the event. Proof of notification may be requested by the Excise Police and can include a copy of a letter, a log entry by the police department, or other appropriate verification means.

What are the requirements for the floor plan submitted with the State 50184 form?

The submitted floor plan must clearly outline the designated licensed premises where the alcoholic beverages will be dispensed. It should also include a well-defined premise area, such as a building, tent, fenced in, or roped off area, and designate areas where minors will be present, ensuring they are not allowed within the alcohol dispensing area.

Can approval for a catered event be revoked?

Yes, an Excise Officer has the authority to revoke approval of a catered event either before or during the event for good cause, ensuring compliance with state regulations and guidelines.

What sanitation requirements must be met for the catered event?

The event must meet all applicable Department of Health sanitation requirements, which includes, but is not limited to, adequate restroom facilities for the number of guests in attendance.

Where should the approved State 50184 form be displayed during the catered event?

The approved request, or a copy thereof, should be posted in a conspicuous place where the alcoholic beverages are being dispensed at the event. This ensures that the catering is conducted in compliance with the approved application and state laws.

Common mistakes

Filling out the State 50184 form, which pertains to catering authority for alcoholic beverages, requires careful attention to detail. Mistakes in this process are not uncommon, but they can lead to delays or denials of the required permissions. Here are five common errors applicants should avoid:

  1. Failure to Complete All Requested Information: The form explicitly requires applicants to fill in all requested details. An oversight often occurs in sections where the applicant might feel uncertain or deem the information irrelevant. Each piece of information requested plays a crucial role in the approval process. Incomplete applications can result in immediate rejection.
  2. Illegible Handwriting: While the form accepts typed or printed responses, applicants choosing to print must ensure their handwriting is legible. Hard-to-read applications can cause misinterpretation or require additional clarification from the applicant, leading to unnecessary delays. Typing the application is recommended to avoid such issues.
  3. Incorrect or Incomplete Address Details: A frequent stumbling block is providing incomplete or incorrect addresses, both for the permittee and the event location. Precise addresses are crucial for verifying the permittee's details and for the excise police to locate and assess the event site. An inaccurately reported address may invalidate the application.
  4. Overlooking the Floor Plan Submission: Step 3 of the form demands a detailed floor plan, which includes a designated area for alcoholic beverage dispensation and marks areas where minors are present. Failing to submit a comprehensive floor plan, or omitting this step altogether, significantly reduces the chances of approval. The floor plan is vital for assessing the suitability of the proposed premises for serving alcohol responsibly.
  5. Not Adhering to Submission Deadlines: The guidelines necessitate the submission of applications at least fifteen days prior to the event. Time-sensitive requirements are often overlooked, leading applicants to submit their paperwork too late. Late submissions risk not being processed in time for the event, causing potential disruptions to the applicant's planning.

Recognizing these pitfalls is the first step in ensuring a successful application process. Applicants should double-check their forms for errors, make sure all information is complete and accurate, and adhere to all specified guidelines and deadlines. This meticulous approach significantly improves the chances of obtaining the necessary permissions without hassle or delay.

In conclusion, the process of filling out the State 50184 form demands attention to detail and an understanding of the required guidelines. By avoiding these common mistakes, applicants can streamline their application process, enabling a smoother execution of their events.

Documents used along the form

When filling out the State 50184 form for catering authority, it's useful to know that there might be other documents you need to gather or complete. These documents are often necessary for ensuring that your event complies with local laws and regulations, both concerning the serving of alcohol and other pertinent aspects of hosting a public or private gathering.

  • Indiana Alcoholic Beverage Permit: This document certifies that the permit holder has been authorized to sell alcoholic beverages within the state of Indiana. It's essential for any entity serving alcohol at an event.
  • Event Insurance Policy: This provides coverage for various liabilities that might occur during the event, such as property damage or injuries resulting from alcohol consumption.
  • Floor Plan Documentation: Detailed plans showing the layout of the event space, including designated areas for alcohol service, must be submitted for review alongside the State 50184 form.
  • Health Department Approval: Documents certifying that the catered event meets sanitation requirements, especially concerning food service and restroom facilities.
  • Notification to Local Law Enforcement: Proof that the local law enforcement agency has been informed about the event, as required for public functions.
  • Employee Permit Numbers for All Staff: Ensures that all staff members serving alcohol or overseeing the event have the correct permissions and have been vetted accordingly.
  • Letter of Authority: If the event involves a wholesaler delivering alcoholic beverages directly to the site, a letter authorizing this action must be displayed prominently at the event location.
  • Public Event License: If the event is open to the public, additional licensing may be necessary to comply with local regulations regarding public gatherings.
  • Proof of Age Signs: Signs that clearly indicate the legal drinking age and the policy for verifying the age of patrons, serving as a reminder and a deterrent against underage drinking.

In summary, preparing for an event, especially one that includes the service of alcoholic beverages, involves thorough documentation and adherence to both state and local guidelines. The documents listed above, along with the State 50184 form, form a crucial part of the compliance process, ensuring that your event runs smoothly and legally. Keeping these documents organized and readily available will ease the process of obtaining the necessary approvals and permissions for your event.

Similar forms

The State 50184 form is similar to several other documents utilized in different contexts, where regulatory compliance and detailed event planning are essential. These documents often share a common structure, including sections for personal information, specific guidelines or rules to be followed, and explicit instructions for submission. Below, two such documents are explored for their similarities to the State 50184 form.

Temporary Event License Application: Much like the State 50184 form, a Temporary Event License Application is used when an organization or individual seeks permission to hold an event involving activities that require regulatory approval, such as the sale of alcohol, large gatherings, or the use of public spaces. Both forms require:

  • Detailed information about the event, including the location, dates, and times of operation.
  • Information about the applicant, including contact details and any relevant permit numbers.
  • Specifics about the setup of the event, like a required floor plan or layout that indicates where certain activities will take place.
  • Instructions on submission and the necessity for early application to allow for review and approval processes.
The primary aim of both documents is to ensure that events comply with local regulations, prioritize safety, and minimize any negative impacts on the community.

Alcoholic Beverage Permit Application: This document shares similarities with the State 50184 form in that it is also used to regulate the distribution and consumption of alcohol at events or premises. Key similarities include:

  • The necessity for the applicant to provide comprehensive details about the premises or event where alcohol will be served, including an exact address and a description of the event.
  • Requirements for a detailed plan of the area, emphasizing control measures for alcohol consumption, areas for minors, and security arrangements.
  • Clear instructions on the application process, including deadlines for submission, required accompanying documents, and the process for review by regulatory bodies.
  • A section dedicated to acknowledgments or agreements by the applicant that stipulates adherence to all regulations and guidelines set forth by the issuing authority.
Both forms serve to ensure that the serving and consumption of alcohol is conducted responsibly, with consideration for legal requirements and public safety.

Dos and Don'ts

Filling out the State 50184 form, related to catering authority/type 222 for events, requires attention to detail and an understanding of the regulations involved. Here are some dos and don'ts to guide you through the process:

Do:
  • Complete all requested information accurately. This includes the permittee and event details, ensuring you haven't left out any crucial information.
  • Type or print clearly. This makes it easier for the authorities to review your application without misinterpretations.
  • Submit the application well in advance. Applications should be sent to the local excise district office at least 15 days prior to the event to ensure enough processing time.
  • Include a detailed floor plan. A well-defined area for the event, showing where alcoholic beverages will be dispensed and areas where minors will be present, is crucial for approval.
  • Notify local law enforcement if open to the public. Demonstrating that local law enforcement has been informed about the event is a condition for those open to the public.
  • Read, sign, and date the acknowledgement section. This confirms your understanding and agreement to abide by the guidelines and regulations provided.
Don't:
  • Leave any section incomplete. Missing details can lead to delays or denial of your application.
  • Submit the application less than 15 days before the event. Late submissions risk not being processed in time.
  • Forget to include a floor plan. Not providing a clear and detailed floor plan can result in the application being incomplete.
  • Omit details about minors. Failing to designate areas for minors appropriately may violate guidelines.
  • Assume carry-out privileges are allowed. Event consumption must be confined to the licensed premises with no carry-out allowed.
  • Use the permit to enhance business operations. The supplemental caterer's permit is intended for specific off-premises events, not for expanding a business’s usual operations.

By following these guidelines, you can ensure a smoother application process for your catered event, leading to a successful and compliant event as per the State 50184 form instructions.

Misconceptions

Understanding the State 50184 form is crucial for anyone involved in planning an event that includes the service of alcoholic beverages. However, there are a number of misunderstandings about this form and its requirements. Let's clear up some of these misconceptions.

  • Misconception 1: The application process is complicated and time-consuming.

    Many people believe that completing the State 50184 form is a lengthy and complex process. In reality, the form is straightforward and requires basic information about the event, the permittee, and the catering details. As long as you have all the needed information on hand, the process is quite simple.

  • Misconception 2: Any event can be catered without specifying its nature.

    It's a common error to think that details about the type of event being catered aren't important. According to the form, applicants must provide a specific description of the event, ensuring that the premises are used appropriately and in line with legal requirements.

  • Misconception 3: The floor plan submission is optional.

    Some might overlook the importance of submitting a detailed floor plan with the application. However, a floor plan is essential to identify licensed areas, places where alcohol is dispensed, and where minors are permitted, ensuring the event complies with alcohol regulations.

  • Misconception 4: Minors can be present in all areas of the event.

    The rules clearly state that areas where alcoholic beverages are dispensed must be designated, and no minors are allowed within these areas. This is to ensure the safety and legality of the event concerning alcohol consumption.

  • Misconception 5: Carry-out privileges are allowed.

    Contrary to what some may believe, the consumption of alcoholic beverages must take place on the licensed premises only, with no carry-out privileges. This rule helps control alcohol consumption and maintain order during the event.

  • Misconception 6: Approval by an Excise Officer isn't necessary.

    An essential part of the process is the approval of the catered event by an Excise Officer, who has the authority to revoke approval for good cause at any time before or during the event. This step is crucial for ensuring the event adheres to legal standards.

  • Misconception 7: Sanitation requirements are only a recommendation.

    All catered events must meet the Department of Health's sanitation requirements, especially regarding restroom facilities. This is not merely a suggestion but a mandatory condition to ensure the health and safety of all attendees.

  • Misconception 8: Notifying local law enforcement is optional.

    If the event is open to the public, the applicant is required to notify the local law enforcement agency responsible for the area. This communication is not optional but a necessary step for public safety and compliance.

  • Misconception 9: The supplement caterer's permit can be used to enhance the permittee's own business.

    There is a clear guideline that a supplemental caterer's permit is intended for specific off-premises functions or events, not for the permittee to use any adjoining or remote facilities to enlarge their own business. This ensures that the permit is used for its intended purpose.

Understanding these points clarifies the application process and requirements of the State 50184 form, ensuring a smoother experience for those planning to host an event with alcohol service.

Key takeaways

When planning to cater an event that involves the serving of alcoholic beverages in the state of Indiana, it is essential to fill out and use the State 50184 form correctly. Here are four key takeaways to ensure compliance and smooth planning:

  • Complete and accurate information is crucial. Every section of the form requires the applicant's attention to detail, from the permittee's information, including the permit number and the event's exact address, to the designated contact person's details. It's important to remember that failing to provide accurate and complete information could delay the approval process or result in denial of the application.
  • Submission timeline matters. The form clearly states that all applications should be submitted at least fifteen (15) days prior to the event. This allows the local excise district office ample time to review the application and make necessary arrangements or inquiries. Late submissions risk not being processed in time, which could affect the event's plans.
  • Event specifics are key. A separate request form must be filled out for each event, indicating the importance of providing specific details about the event, including the start and end dates, whether the event includes Sundays, and the times of the catered function. Additionally, a clear and detailed floor plan must be submitted, defining where alcohol will be dispensed and highlighting areas where minors will be present, adhering to regulations that prevent minors from accessing alcohol-serving areas.
  • Compliance with regulations is non-negotiable. The guidelines outlined in the form include adhering to Department of Health sanitation requirements, ensuring the designated individual responsible for the event holds an employee's permit, and notifying local law enforcement if the event is open to the public. Furthermore, the form warns that an Excise Officer has the authority to revoke approval of a catered event before or during the event for good cause, emphasizing the importance of compliance before and throughout the event.

Understanding these key aspects of the State 50184 form can help permittees ensure their catering events run smoothly, remain in compliance with state regulations, and provide a safe, enjoyable environment for all attendees..

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