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M M D D Y Y Y Y M M D D Y Y Y Y Catered Event Law Enforcement Notification Form Page 1 of 1 Catered Event Local Law Enforcement Notification Form LLC V2 2/2025 Montana law requires the licensee to notify the local law enforcement agency with jurisdiction over the premises where the catered event is to be held prior to the event. General Information Note: If the licensee is an individual, list the individual’s name below. If the licensee is a partnership, limited liability partnership (LLP), corporation, or limited liability company (LLC), list the business’ name below. Licensee/Entity Name Licensee’s Business Name Licensee’s Business Location Address Alcoholic Beverage License Number Event Information (One form per event) Date(s) (List each date, include start/end times. Up to 3 days OR 7 days for one fair event.) Name of Sponsor Exact Location Address 1234 Fairgraounds LN, Bldg A, Great Falls; 1234 Happy LN Parking Lot, Helena) Event Name & Description Licensee or Location Manager Signature’s Only Are Authorized to Sign This Form I/We declare under penalty of false swearing that the information provided on this notification form and its attachments are true, correct, and complete. Licensee/Location Manager Signature Date Authorization Law Enforcement Agency Name of Authorized Representative Title Signature Date You must keep a copy of this form for your records, submit the form with your online catering reporting before the 15th of the following month. Give the original to local law enforcement along with the $35 fee, if applicable. 16-4-111, 16-4-204, MCA & ARM 42.12.128. Questions? Please email us at [EMAIL REDACTED], call us at (406) 444-6900, Montana Relay at 711 for hearing impaired, or fax us at (406) 444-0722. Clear Form