Establishment Duplicate License Request
Duplicate establishment licenses can now be purchased online by following the link below. The Board accepts MasterCard, Visa and Discover for online payments.
Request Information
Owner’s First Name
required
Owner’s Last Name
required
Name of Establishment
required
Establishment License #
required
Mailing Address
required
City
required
State
required
Zip
required
Work Phone
please enter at least one phone number
Cell Phone
Email
required
invalid email
I am requesting:
New 8 1/2 X 11 Establishment License Certificate - $25.00
please select at least one option