Social Affair Permit Application

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This document is an application for a Social Affair Permit in the State of New Jersey, Division of Alcoholic Beverage Control. The permit allows organizations to sell, dispense, and serve alcoholic beverages for consumption at a specific event. Applicants must submit the application at least two weeks before the event, along with a fee of $100.00 per day for Civic, Religious, or Educational Organizations and $150.00 per day for other NON-PROFIT organizations.

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--- Document: Social Affair Permit Application Document ---
APPLICATION FOR 
SOCIAL AFFAIR PERMIT [SA] 
STATE OF NEW JERSEY 
DEPARTMENT OF LAW AND PUBLIC SAFETY 
DIVISION OF ALCOHOLIC BEVERAGE CONTROL
P.O. BOX 087, 140 EAST FRONT STREET 
TRENTON, NJ 08625-0087 
 
APPLICATION MUST BE SUBMITTED AT LEAST TWO WEEKS PRIOR TO THE EVENT 
Applications must be accompanied by a fee of $100.00 PER DAY for Civic, Religious, or Educational Organizations; $150.00 PER DAY 
for all other NON-PROFIT organizations, in the form of a check or money order payable to the DIVISION OF ALCOHOLIC BEVERAGE 
CONTROL. 
 
NOTICE: ORGANIZATIONS MAKING APPLICATION FOR THE FIRST TIME, MUST SUBMIT PROOF OF NON-PROFIT STATUS IN 
NEW JERSEY. COMBINATIONS OF CERT IFICATE OF INCORPORATION, CHARTER OR BY-LAWS, FEDERAL TAX EXEMPT 
CERTIFICATE, FINANCIAL RECORDS A ND MEMBERSHIP LIST (NAMES AND A DDRESSES INCLUDED) ARE ACCEPTABLE 
FORMS OF PROOF. THE DIVISION OF ALCOHOLIC BEVERAGE CONTROL RESERVES THE RIGHT TO REQUEST ADDITIONAL 
INFORMATION IF DOCUMENTATION SUBMITTED IS NOT SUFFICIENT. 
 
Pursuant to N.J.S.A. 33: 1-74 and N.J.A.C. 13:2-5.1, the undersigned makes application for a Special Permit to sell, dispense and serve 
alcoholic beverages for consumption at an affair as stated herein: 
Organization Information 
1. 
Name of Organization: _____________________________________________________________________________________ 
 
Address: ________________________________________________________________________________________________ 
 
2. 
Does organization hold a liquor license? Yes ☐    No ☐ If yes, ____________-______31_____-_____________-_____________ 
(CLUB LICENSE’S ONLY) 
3. 
Has organization held a special permit for Social Affair during the past 3 years? Yes ☐    No ☐ If no, supply proof of non-profit 
status from NOTICE paragraph above. Previous Permit No: _______________________ 
 
4. 
Contact ____________________________________________ Phone Number: _______________________________________ 
 
5. 
E-mail address ___________________________________________________________________________________________ 
 
6. 
Mailing address ___________________________________________________________________________________________ 
 
Premises Information 
7. 
Location of premises where affair will be held: (Describe Specifically) 
 
 
 
Name of premises _________________________________________________________________________________________ 
 
 
 
Address of premises _______________________________________________________________________________________ 
 
8. 
Is the above named premises licensed?  Yes ☐    No ☐    If yes, __________-__________-__________-__________ 
 
9. 
Are the premises where the affair is to be held owned by a municipality, county or state? Yes ☐    No ☐      
 
 
If yes, state the name of owner _______________________________________________________________________________ 
 
For what purposes are premises used? ________________________________________________________________________ 
 
Does the premise conduct mercantile business?  Yes ☐ 
No ☐ If yes, what is sold? ____________________________________ 
 
Event Information 
10. What date(s) will affair be held and between what hours alcoholic beverages will be dispensed (Dates must be consecutive to be 
on one application): 
 
 
 
 
 
 
 
 
Rain Date (only one rain date): __________________________________________________________ 
/        / 
/        / 
/        / 
am   pm
am   pm
am   pm
am   pm 
am   pm 
am   pm 
END
START
MM/DD/YY 
 
11. What is the specific fundraising event being held? ________________________________________________________________ 
 
12. How is a charge assessed? Ticket ☐    Contribution ☐    Other : ____________________________________________________ 
            (SPECIFY OTHER) 
13. Who is the recipient of the proceeds? __________________________________________________________________________ 
 
 


14. Check the types of alcoholic beverages to be dispensed if permit is granted: 
 
Wine ☐ 
Distilled Spirits ☐  
Malt Alcoholic Beverages ☐ 
 
15. What are cup sizes for alcoholic beverages?  
Wine ___________ 
Beer ___________ 
Spirits ___________ 
 
16. How many people are expected to attend your event on a daily basis? ________________________________________________ 
 
17. What is the approximate age group of the attendees? _____________________________________________________________ 
 
18. Will persons under the legal age to consume alcohol be in attendance?  
Yes ☐         No ☐   
 
 
19. Explain in detail the security plans for the event.  The plan should include the number of people checking for ID's, plans to prevent 
pass-offs to minors, the t ype of securit y at the event, the limit of alco
holic beverages per transacti on, and any other relevant 
information pertaining to the event.  Please attach another sheet if necessary. 
 
________________________________________________________________________________________________________ 
 
 
________________________________________________________________________________________________________ 
 
 
________________________________________________________________________________________________________ 
 
 
________________________________________________________________________________________________________ 
 
 
________________________________________________________________________________________________________ 
 
 
________________________________________________________________________________________________________ 
 
20. Please use the space below or attach a detailed sketch of the area to be licensed.  The sketch should include entrances and exits, 
ID checking area(s), location of where alcoholic beverages will be dispensed and any other relevant information pertaining to the 
event. No permit will be issued if a sketch is not attached. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Event Organizer Information 
 
 
Is the event being handled by a promoter, Production Company, or other entities? Yes ☐   
No ☐  If yes, attach contract. 
 
 
 
Company Name _______________________________________________________________________________________ 
 
 
 
Company Contact _____________________________________________________________________________________ 
 
 
 
Phone Number __________-__________-___________x___________ Title________________________________________ 
 


NO PERMIT WILL BE GRANTED UNLESS WRITTEN APPROVALS FOR BELOW ARE OBTAINED 
ORIGINAL SIGNATURES ONLY 
 
If a Special Permit is granted, applicant agrees that alcoholic beverages will not be sold or served to anyone under the legal age, nor 
will such persons be permitted to co nsume alcoholic beverages at aforesaid affair a nd certifies that all c onditions set forth i n said 
Permit, all rules and regulations pertaining thereto and all ordinances and/or resolutions of the municipality where aforesaid affair is to 
be held will be complied with; and that permission is hereby given the Director of the Division of Alcoholic Beverage Control, Division of 
Taxation, and their d uly authorized investigators and agents, and to a ny local peace officer to investigate the sale of alcoholic 
beverages at the social affair for which this application is made. 
 
Gambling, mock gambling and gambling paraphernalia are not permitted on the premises licensed by the Special Permit unless 
otherwise approved by the Legalized Games of C hance Commission (973) 273-8000. I HEREBY CERTIFY THAT THIS 
ORGANIZATION HAS NOT EXCEEDED ITS LIMIT OF 12 SPECIAL PERMITS DURING THIS CALENDAR YEAR. 
 
 
 
_________________________________________________   
_________________________________________________ 
(Signature of Authorized Officer and Title)  
 
                                             (Name of Organization) 
 
Date of Signature___________________________________ 
 
I hereby certify that there is no objection to the granting of a Special Permit to above applicant to sell alcoholic beverages at the affair to 
be held on aforesaid date and premises, subject to, however, the following Special Conditions (if any): 
 
 
 
_________________________________________________   
_________________________________________________ 
                       (Signature of Chief of Police)   
 
 
 
    (Municipality where affair is to be held) 
 
Date of Signature___________________________________ 
 
I hereby certify that the License Issuing Authority of this municipality has no objection to the granting of a Special Permit herein applied 
for and consents thereto. I further certify that the issuance of said Permit is not contrary to any local ordinance, resolution, regulation or 
policy which would prohibit same. 
 
 
 
_________________________________________________  
 
(Signature of Clerk)  
 
 
 
 
   
 
_________________________________________________   
Date of Signature: _______________________________ 
      
(Municipality where affair is to be held) 
 
 
 
 
 
 
 
 
The following consent is to be signed by the person so authorized of the premises where the affair is to be held. 
 
I hereby certify that I am the person in charge of the premises upon which the herein affair will be held, that I am fully authorized to and 
do hereby certify that there are no objections to the sale and service of alcoholic beverages upon such premises at suc h affair. I 
HEREBY CERTIFY THAT THIS PREMISE HAS NOT EXCEEDED ITS LIMIT OF 25 SPECIAL PERMITS DURING THIS CALENDAR 
YEAR. 
  
 
 
_________________________________________________   
Date of Signature___________________________________ 
                           (Signature and Title) 
 
 
 
NOTE:  THE DIVISION MUST BE NOTIFIED FOR CANCELLATION OR RESCHEDULING PRIOR TO THE DATE OF 
THE EVENT.  
 
 
 
 
Issuance of the Special Permit will allow the organization to purchase alcoholic beverages for resale at the affair specified in 
the application from any licensed wholesaler or retailer. All advertising, tickets, etc., for the affair which contain reference to 
alcoholic beverages must include this Permit Number. 
 
 
Rev. 01/13