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  1. City of Middleton Operator License Application
  2. Filling out your application:

    An operator license is a privilege, not a right.  Any false answers or omissions may result in the denial of your application.

    The City of Middleton will perform a background check to verify that the information you provided is complete and accurate.

    This application must be filled out completely and accurately.  All fees are non-refundable.

  3. License Type*

    Select the type of license you are applying for.

  4. Please upload a copy of your current driver's license or state issued identification card.

  5. *Renewals - Please only list the violations since your last application.
  6. Have you ever been convicted of a felony or misdemeanor (including criminal traffic offense)?*
  7. Have you been arrested for, received a summons to appear in court for, or paid a fine for any of the following?

     For multiple charges, attach additional pages.

  8. Any underage alcohol violation?*
  9. Operating a motor vehicle while intoxicated?*
  10. Selling or furnishing alcoholic beverages to underage person?*
  11. Permitting underage person on licensed premise?*
  12. Allowing person on licensed premises after closing?*
  13. Any alcohol related violation other than those listed above?*
  14. Sale or possession of drugs any kind?*
  15. Fighting, disorderly conduct, assault, or battery?*
  16. Resisting arrest or obstructing an officer?*
  17. List ALL and ANY convictions, citations, tickets, and pending charges not identified above.
  18. Within the last 2 years, did you have or complete one of the following?*
  19. Payment Method*

    Once you hit submit, you will be directed to the credit card processing page.  You may also mail a check to our office at 7426 Hubbard Avenue, Middleton, WI  53562.

  20. I attest that the above information is true and correct and that any false or incomplete information may result in denial of my application.
  21. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
  22. Leave This Blank:

  23. This field is not part of the form submission.