AB-100 is the Alcohol Beverage Individual Questionnaire, a Wisconsin Department of Revenue (DOR) form that each individual involved in an alcohol beverage business completes about their identity, address history and criminal history. It is used with a retail license application, or with an agent update, and is submitted to a municipal clerk. On FillingPDF you can fill out the form online and download or print the completed PDF; the official PDF is published by the DOR.
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What is AB-100?
Form AB-100, Alcohol Beverage Individual Questionnaire, is the Wisconsin Department of Revenue (DOR) form on which one person tied to an alcohol beverage business gives personal, address-history and criminal-history information and signs an attestation. The DOR designed it for use by municipal governments.
The form has five parts: Part A, Business Information; Part B, Individual Information; Part C, Address History; Part D, Criminal History; and Part E, Attestation. Each individual completes their own questionnaire. The business information in Part A must match the license application (Form AB-200 or AB-220) or an existing license certificate.
AB-100 is a companion to other DOR alcohol beverage forms. Form AB-200, Alcohol Beverage License Application, and Form AB-220, Temporary Alcohol Beverage License Application, identify the people who must complete it, as does Form AB-101, Alcohol Beverage Appointment of Agent. The form states that an alcohol beverage application is not complete until all required Individual Questionnaires are submitted.
The instructions note that persons with convictions or pending charges may, if the offenses are sufficiently relevant, be prohibited from holding an alcohol beverage license or permit under sec. 125.04(5)(a)(1) Wis. Stats., subject to the Wisconsin Fair Employment Law (Ch. 111, Wis. Stats.).
Who needs to file AB-100?
All persons involved in the applicant business who are sole proprietors, partners of a partnership, officers, directors, members, managers or agents must complete and submit Form AB-100. These persons are identified in Form AB-101, Form AB-200 or Form AB-220.
The form lists the groups this way:
- the sole proprietor;
- all partners of a partnership;
- all officers, directors and the agent of a corporation or nonprofit organization;
- members and the agent of a limited liability company.
Each person completes a separate questionnaire, because Part B asks for personal details such as date of birth, driver's license or state ID number, and home address, and Part E is signed by the individual. The form says the application is not complete until every required Individual Questionnaire has been submitted.
The instructions name no exclusions and no representative who may sign for another person; the attestation is made by the individual under penalty of law.
When to file AB-100
Submit Form AB-100 at the same time as the application or form it supports. For a retail alcohol beverage license, it goes in with Form AB-200, Alcohol Beverage License Application, or Form AB-220, Temporary Alcohol Beverage License Application. To update the agent for an alcohol beverage license, it goes in with Form AB-101, Alcohol Beverage Appointment of Agent.
The form prints no separate due date of its own, so timing follows the application or agent update it accompanies. Because an application is not complete until all required Individual Questionnaires are submitted, collect a questionnaire from every person who must complete one before you submit the package. Date the form in the top right corner when you complete it.
Documents you need
- Form AB-200, Alcohol Beverage License Application, or Form AB-220, Temporary Alcohol Beverage License Application: submitted together with AB-100 when applying for a retail alcohol beverage license.
- Form AB-101, Alcohol Beverage Appointment of Agent: submitted together with AB-100 when updating the agent for an alcohol beverage license.
- Additional sheets for Part C, question 2, if you have more addresses from the last 5 years than the form has lines for.
- Additional sheets for Part C, question 3, if you need more room to list the states and counties you have lived in as an adult.
- Additional sheets for Part D, question 1, listing each conviction (law or ordinance violated, location, conviction date, penalty imposed, and whether the sentence was completed), if you need more space.
- Additional sheets for Part D, question 2, describing the nature and status of pending charges, if you need more space.
How to fill out AB-100
Date the form
Enter the date in the top right corner of the form, next to the AB-100 form title.
Complete Part A business information
Box 1: the legal business name (the individual's first and last name for a sole proprietor). Box 2: the trade name or DBA, if different from box 1. Box 3: check one entity type: Sole Proprietor, Partnership, Limited Liability Company, Corporation or Nonprofit Organization. Match the license application or license certificate.
Enter your personal details in Part B
Give your last name, first name and middle initial (boxes 1–3), email and phone (boxes 5–6), and home address, city, state and ZIP code (boxes 7–10). Enter your date of birth in box 11 and your driver's license or state ID number and issuing state in boxes 12 and 13.
State your relationship to the business
In Part B, box 4, enter your title or describe your relationship to the business, for example President, Treasurer, Director, Chief Financial Officer, Member, Partner or Agent.
Answer the Wisconsin residence question
In Part C, question 1, check Yes or No to whether you currently live in Wisconsin. If Yes, enter the month and year you permanently moved to Wisconsin in MM/YYYY format.
List your addresses of the last five years
In Part C, question 2, list all addresses within the last 5 years in chronological order, starting with your most recent: address, city, state and ZIP code. Attach additional sheets if necessary.
List states and counties lived in
In Part C, question 3, list every state and county where you have lived as an adult. Attach additional sheets if necessary.
Answer the conviction question
In Part D, question 1, check Yes or No. If Yes, list each conviction: law or ordinance violated, location, conviction date, penalty imposed, and whether the sentence was completed. Traffic offenses are excluded unless related to alcohol beverages; describe alcohol-related violations in detail.
Answer the pending charges question
In Part D, question 2, check Yes or No to whether charges are currently pending against you. If Yes, describe the nature and status of the charges, attaching additional sheets as needed.
Read, sign and date the attestation
Read Part E carefully, then sign and date it. It is made under penalty of law and certifies that your answers are complete and truthful.
Review and download the completed PDF
Check that every part is complete and that the business information matches the license application. Download or print the completed PDF from FillingPDF and assemble it with the form it supports, as described under How to submit.
How to submit AB-100
Form AB-100 is submitted to a municipal clerk, together with the form it supports. The instructions give two cases:
- Retail license application: submit AB-100 with Form AB-200 or Form AB-220 to the clerk of the municipality in which the applicant business is located.
- Agent update: submit AB-100 with Form AB-101, Alcohol Beverage Appointment of Agent, to the clerk of the municipality that issued the alcohol beverage license.
The instructions name no mailing address, portal or appointment rule; ask the municipal clerk for help with submitting the retail license application and supplemental forms, and for the availability and cost of certain licenses. For questions about alcohol beverage laws and regulations, contact the Department of Revenue at [email protected] or (608) 266-2526.
FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Entering business information in Part A that does not match the license application (Form AB-200 or AB-220) or the existing license certificate; the instructions say it must match.
- Checking more than one entity type in Part A, box 3; the form asks you to check one.
- Submitting the license application before every required person has completed an AB-100; the application is not complete until all required Individual Questionnaires are submitted.
- Listing addresses out of order in Part C, question 2; the instructions ask for chronological order, starting with your most recent address.
- Describing an alcohol-related violation (such as OWI or disorderly conduct) without detail; the instructions ask for detailed descriptions of any violations involving alcohol beverages.
- Answering No to the pending-charges question in Part D when charges are pending in any jurisdiction, or leaving out the nature and status when you answer Yes.
- Signing Part E without reading the attestation, which is made under penalty of law and covers restricted-investor involvement in another tier of the industry.
- Sending the form to the Department of Revenue instead of the municipal clerk where the business is located or that issued the license.
Frequently asked questions
What is Form AB-100?
Form AB-100 is the Alcohol Beverage Individual Questionnaire issued by the Wisconsin Department of Revenue. Each person involved in an alcohol beverage business uses it to give personal, address-history and criminal-history information, and signs an attestation under penalty of law.
Who has to complete an AB-100?
All persons involved in the applicant business who are sole proprietors, partners, officers, directors, members, managers or agents. For corporations and nonprofits that means officers, directors and the agent; for LLCs, members and the agent. Each person completes their own form.
Where do I submit Form AB-100?
To the clerk of the municipality where the applicant business is located, with Form AB-200 or AB-220, for a retail license. To update an agent, submit it with Form AB-101 to the clerk of the municipality that issued the license.
Can I fill out Form AB-100 online?
You can complete the AB-100 PDF online on FillingPDF and download or print it. FillingPDF does not submit the form: you deliver it to the municipal clerk through the channels the Department of Revenue's instructions describe.
Do I have to list traffic offenses on the AB-100?
Part D excludes traffic offenses from both the conviction and pending-charges questions unless they are related to alcohol beverages. Alcohol-related offenses, such as OWI, must be disclosed, with detailed descriptions.
How far back does the AB-100 address history go?
Part C, question 2 asks for all addresses within the last 5 years, in chronological order starting with your most recent. Question 3 separately asks for all states and counties where you have lived as an adult.
Can a conviction stop me from getting an alcohol license?
Possibly. The instructions say that, subject to the Wisconsin Fair Employment Law, persons with convictions or pending charges may be prohibited from holding a license or permit under sec. 125.04(5)(a)(1) Wis. Stats. if the offenses are sufficiently relevant.
Who do I contact with questions about alcohol beverage rules?
Ask your municipal clerk about submitting the retail license application and supplemental forms. For questions about alcohol beverage laws and regulations, contact the Department of Revenue at [email protected] or (608) 266-2526.
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