COLORADO LIQUOR ENFORCEMENT DIVISION
Section 12-47-601(8), C.R.S.
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Liquor & Beer Code Violation Hearing Report
Report all enforcement actions taken by your local licensing authority which resulted in the imposition of fines, suspensions or revocations.  Reports are due no later than January 5th of the following year, but you may submit reports at any time.
Local Authority *
Local Authority Name *
Licensee's Name *
Trade Name (dba) *
Licensee's Address *
Licensee's City *
Licensee's State *
Licensee's Zip Code *
Licensee's State Liquor License Number *
Do not use (-) dashes.
Date of Hearing *
MM
/
DD
/
YYYY
Description of Violation(s) found: *
E.g., Sale to Minor.    If more than one violation, separate violations by (;) semi-colon.
Date of Violation *
MM
/
DD
/
YYYY
Licensee Meets the requirements of a Responsible Vendor Training pursuant to section 12-47-1002 C.R.S. *
Violating Employee received Responsible Vendor Training Prior to Violation within the last three (3) years. *
Licensee's renewal has been denied.
Date of Denial.
MM
/
DD
/
YYYY
License Revoked Effective
MM
/
DD
/
YYYY
Number of Days License Suspended for: *
(Total)
Number of Actual Day(s) Served: *
Number of Day(s) of suspension held in abeyance: *
For a period of: *
E.g., 1 year
Amount ($) of any fine paid in lieu of active suspension. *
License Denied | Withdrawn:
State reason.
Other Sanctions | Information
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