Hayward, CA · Alameda County

No notary required

Supplemental Diagram

Applicants for an alcoholic beverage license or event authorization use this form to sketch the licensed premises or the area where beverage sales and consumption will occur.

What this form is

The Supplemental Diagram shows the licensed premises or, for a daily license, catering authorization, event authorization, or miscellaneous use, the area where alcoholic beverage sales and consumption will occur. It asks for the applicant name, license type, premises address, nearest cross street, and a sketch showing adjacent structures. The applicant declares the diagram true and correct, and the form instructs applicants to post a copy at certain events.

Who needs it

Applicants for an alcoholic beverage license or specified event use need this form to show the premises or the area designated for sales and consumption.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

No notary is required; the applicant signs and dates the form, declaring under penalty of perjury that the diagram is true and correct.

How to submit this form

  1. 1

    Download The Diagram

    Download the Supplemental Diagram PDF.

  2. 2

    Complete Applicant Details

    Enter the applicant name, license type, premises address, and nearest cross street.

  3. 3

    Draw The Premises

    Sketch the area and show adjacent structures; for specified event uses, show where sales and consumption will occur.

  4. 4

    Sign And Submit

    Sign and date the declaration, then submit the form to the city department named on it.

Frequently asked questions

What is the Supplemental Diagram for?
It sketches the licensed premises or, for specified event uses, the area where alcoholic beverage sales and consumption will occur.
What information does the form ask for?
It asks for the applicant name, license type, premises address, nearest cross street, and a sketch showing adjacent structures.
Do I need a notary for the Supplemental Diagram?
No. The applicant signs and dates the form and declares under penalty of perjury that the diagram is true and correct.
How do I submit the Supplemental Diagram?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Supplemental Diagram doesn’t need a notary — but if you have another Hayward form that does, a commissioned online notary can help.