Credential Submission Form for Chiefs of Police and/or Designates
Please complete the below form to submit credentials for registration in the Division of Alcoholic Beverage Control’s Online Licensing System.
Purpose
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- New Account
- Update Account
- Cancel Account
- Password Reset
Comments
0/200
Municipal Code 1
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Municipality/Town 1
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Municipal Code 2
Municipality/Town 2
Municipal Code 3
Municipality/Town 3
Municipal Code 4
Municipality/Town 4
Rank/Title
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Full Name
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First Name
Last Name
Office Number
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Office Number Extension
Cell Number
Official E-mail
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Confirmation Email
Submit Form
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