Madison, WI · Dane County
Adult Entertainment Establishment License Application
This application requests an Adult Entertainment Establishment or Adult Entertainment Tavern license from the City of Madison Clerk for an individual, partnership, corporation, or LLC.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Applicants provide business and ownership information, including details about partners or corporate officers, directors, managers, and stockholders. The form states that the application is made under Section 9.05 of the Madison General Ordinances and warns that failure to cooperate with a required investigation may be grounds for denial. Submit it to the City Clerk when applying for the listed license; the form also identifies the license renewal date.
Who needs it
An individual, partnership, corporation, or LLC applying to the City of Madison for an Adult Entertainment Establishment or Adult Entertainment Tavern license needs this form.
Why it needs a notary
The form has a “Subscribed and Sworn to before me” jurat; the individual applicant, partner, or corporate officer signs before the clerk or notary public.
How to get this notarized
- 1
Download the Application
Get the Adult Entertainment Establishment License Application from the City of Madison Clerk.
- 2
Complete the Form
Enter the applicant, business, and ownership information that applies to your organization.
- 3
Book an Online Notary
Schedule a remote session with a commissioned online notary for the form’s jurat.
- 4
Sign on Video
Sign the application during the online notary session and complete the oath.
- 5
Submit to the City
Send the completed application to the City of Madison Clerk as directed by the city.
Preview the form
The blank PDF straight from Madison. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I apply for a Madison adult entertainment license?
- Complete the application with the requested business and ownership details, sign before a notary or clerk, and submit it to the City of Madison Clerk.
- Do I need to sign this application before a notary?
- Yes. The form includes a “Subscribed and Sworn to before me” jurat and a signature area for the individual, partner, or corporate officer.
- Can I sign the application with an online notary?
- Wisconsin allows remote online notarization by a commissioned online notary under Wis. Stat. §140.145. Check that the City Clerk will accept a remotely notarized application.
- What information does the application request?
- It requests applicant and business details, a seller’s permit number, and information about partners or corporate officers, directors, managers, and stockholders, as applicable.
- Where do I submit the completed application?
- The form lists the City of Madison Clerk at 210 MLK Jr Blvd, Room 105, Madison, WI 53703. Confirm with the city or village if unsure.