Ethyl Alcohol Permit Application (Over 151 Proof)

Idaho State Liquor Division

This form is REQUIRED and must be filed annually with the Idaho State Liquor Division (ISLD) for all ethyl alcohol permits in Idaho. This form must be completed in its entirety, signed and submitted before December 1 for the next license year. All licenses expire the 31st of December in the year the license is issued. New applicants may submit at any time during the year, however, will be required to resubmit during the renewal period mentioned above.

Instructions: This form is an application for permission to acquire commercial sized quantities of alcoholic liquor in the manufacture of medicines for scientific purposes. Be specific in describing the use of alcohol and any end products or services. Incomplete applications with insufficient information will be denied. Permits may not be transferred or shared. If more than one person needs to place orders for alcohol, each must obtain a permit in their own name.

Ethyl Alcohol Permits are issued by the Idaho State Liquor Division in accordance with the Idaho Liquor Act, Idaho Administrative Procedures Act and applicable codes outlined in section 8 of this application.

New applications shall be submitted for renewals annually.

  • 1. Application Date

  • 2. Type of Application

  • 3. State Sales/Use Tax Permit #

  • 4. Idaho License

  • 5. Business Name

  • 6. Contact Person

  • 7. Business Profile Overview

  • One must reapply for a new permit if they exceed their estimated gallons per year.

  • 8. Idaho Codes and Rules

  • It is recommended that you be familiarized with Idaho liquor codes and rules:

  • 9. Signature

  • I do hereby attest that I have the authority to sign legally binding contracts on behalf of the business entity named herein. I have read, understand and acknowledge the Idaho liquor laws and IDAPA rules, have not been convicted of or pleaded guilty to a felony or a crime of moral turpitude, have a reputation of “probity, temperance and integrity”, will comply with federal, state, county and local laws, regulations, and Idaho State Liquor Division rules and policies and acknowledge that the issued Ethyl Alcohol Permit is at the sole discretion of the Director or his appointed representatives. I certify that all information provided in the application and all required documents are accurate to the best of my knowledge.

    By submitting this application, you are acknowledging that the electronic signature below, is intended to have the same force and effect as your manual signature.

    In case of any conflict between the terms or statements herein and any federal and state regulations, laws, codes, State or Division policies, the regulations, laws, codes or policies prevail.

  • Signature page must accompany application. If alternate arrangements are needed for submitting this application or any of the required documents, contact Ethyl Alcohol Permits, for permission and instructions.
  • This field is for validation purposes and should be left unchanged.