Special Distributorship Application

Idaho State Liquor Division

Before beginning, click on these links for instructions and a list of required documents to be submitted with your application: “Special Distributorship Agreement Application Checklist” (Checklist) and “Qualifications of Special Distributors”. First applicant (primary contact) must complete this application. Any others to be named in the contract should complete the “Application for Special Distributorship – Supplement”. To view a sample contract, click here: “Special Distributorship Agreement-Sample”.

  • 1. Applicant’s Information

  • Idaho Code § 23-304. Proof of Idaho residency (valid, state-issued identification and other documents), required. See checklist for specifications.
  • See Checklist for a list of acceptable documents
  • IDAPA Rule 15.10.01 011. 06. c. An applicant who has been convicted of, or has pleaded guilty to, a felony or a crime of moral turpitude (an element of which is dishonesty or fraud) under the laws of any state, U.S. Territory or protectorate, the District of Columbia, or the United States will not be allowed to operate a Distributing Station.
    Click Here for a Criminal Background Check Authorization Form
    Do not complete the credit card portion. See Checklist for detailed instructions. Original signature is required; electronic signature is not accepted.
  • 2. Business Information

  • 3. Store Information


  • The following specifications are required, indicate whether you can or cannot provide each.

  • 4. Business Profile Overview

  • 5. Idaho Codes and Rules

  • It is recommended that you be familiarized with Idaho liquor codes and rules:
    Idaho Liquor Laws: https://legislature.idaho.gov/statutesrules/idstat/Title23.
    IDAPA RULES: https://adminrules.idaho.gov/rules/current/15/151001.pdf.

    These include but are not limited to:

         • IDAPA Rule 15.10.01 011. 06. d. An applicant may not be a Close Relative of, or have a partnership or other close business relationship with any person employed by the Division who has the responsibility for establishing, approving, or influencing policies of the Division.

         • IDAPA Rule 15.10.01 011. 06. e. An applicant may be a spouse, child, employee, blood relative, relative through marriage, or business associate of the retiring or deceased Distributor.

         • IDAPA Rule 15.10.01 011. 07 d. The Distributor shall not hold a partisan state elective political office. He cannot be a Close Relative of, or be in a business partnership with a person in a partisan state elective Political Office.
  • 6. 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 and understand 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 in operating a liquor distributing station, consent to criminal background and credit checks, am presently an Idaho resident for a minimum of six (6) months, and acknowledge that the selection of Special Distributors (Contractors) 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 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 one of the ISLD representatives listed on the Checklist, for permission and instructions.
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