Blank Form Download
State Authority Information
Follow these steps to complete the Michigan license process:
Download a blank copy of Form LCC-350 permit application(pdf link above), and fill out the requested information as follows:
Part 1: Enter your business name, address, e-mail, and your Limited Alcohol Buyer license number.
Part 2: Enter our business information listed above.
Part 3: Check off Ethyl Alcohol for alcohol type. Then for commercial use check the "Other" box and describe how you will use Culinary Solvent in your process.
Part 4: Enter in the shipping information. See our blog post to learn about wine and proof gallons.
Part 5: Enter "FedEx" or "LTL Freight". They are who we use to ship Culinary Solvent.
At the bottom of the page print your name and title. Then sign and date the release form.
E-mail the completed form to: MLCCMWapplications@michigan.gov
Once the release is approved it will be e-mailed to us. A customer service specialist will contact you to take your order information and payment.