Liquor Control Board

Official Website:

Forms & Documents

Browse all Liquor Control Board government forms

All 10 forms

Form Title Topics
Authorization for Release of Licensing Information
PLCB-1136 | Waiver/Authorization and Late Filing Statement*
PLCB-1842 | Individual Financial Disclosure Affidavit*
PLCB-196 | Individual Questionnaire for Officers, Directors, Stockholders, Business Trustees, Limited Liability Company Members, Limited or General Partners*
PLCB-2027 | Incident Documentation Form
PLCB-2068 | Non-Commercial Lender Affidavit *
PLCB-2345 | Probation/Parole Officer Questionnaire*
PLCB-2384 | Dual Employment Affidavit*
PLCB-2466 | Credit Card on File ACH Form For Store Purchases
PLCB-702 | Schedule of Wholesale License Fees/Reciprocal Fees for Out of State Liquor

Contact Information & Office Locations

1 contact point

Main Office

311 Northwest Office Building
Harrisburg, PA 17124-0001

Phone numbers:
  • 800-332-7522
  • (717) 772-3725 (TTY/TDD)

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