Mazomanie, WI · Dane County

Alcohol License Questionnaire

This sworn questionnaire gathers an individual’s background and license information for an alcohol beverage license application and is submitted to the municipal clerk.

Standard form~15 min to notarize
  • 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

The questionnaire asks the named individual about Wisconsin residency, certain convictions or pending charges, other alcohol beverage licenses or permits, and the last two employers. It accompanies an alcohol beverage license application when the individual is applying alone or is connected to a partnership or organization applying for a license. The form directs applicants to submit it to the municipal clerk.

Who needs it

An individual applying for an alcohol beverage license, or serving in a listed role with a partnership or organization applying for one, completes and submits this questionnaire.

Why it needs a notary

The form carries a sworn-to jurat stating that the questionnaire was subscribed and sworn to before the clerk or notary, and the named individual signs before that official.

How to get this notarized

  1. 1

    Download The Questionnaire

    Get the Alcohol License Questionnaire from the Village of Mazomanie's document page.

  2. 2

    Fill In The Requested Information

    Complete the individual details, background questions, license or permit information, and last two employers.

  3. 3

    Book An Online Notary

    Arrange an online notarization for the questionnaire and check with the municipal clerk about accepting it.

  4. 4

    Take The Oath And Sign On Video

    Appear before the commissioned online notary by video, take the oath, and sign as the named individual when instructed.

  5. 5

    Submit It To The Municipal Clerk

    Send the completed questionnaire to the municipal clerk as directed by the form.

Preview the form

The blank PDF straight from Mazomanie. Look it over, then upload your filled copy to start the notary session.

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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 complete the Alcohol License Questionnaire?
Fill in the requested personal, background, license, and employment information. Sign the named-individual signature line before a notary or clerk, then submit the questionnaire to the municipal clerk.
Do I need to sign this questionnaire in front of a notary?
The form includes a jurat stating that the named individual subscribed and swore to the questionnaire before a clerk or notary. Complete the oath and signature with that official present.
Can I use an online notary for this questionnaire?
Wisconsin law allows a commissioned online notary to perform remote notarizations for eligible documents. Ask the municipal clerk whether an online notarization is accepted for this questionnaire; confirm with the city or village if unsure.
Where do I submit the completed questionnaire?
The form says to submit the completed questionnaire to the municipal clerk. Contact the clerk if you need directions on submitting the form with the alcohol beverage license application.

Ready to notarize your Alcohol License Questionnaire?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.