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Gambling Act 2005 Application Forms

Gambling Act 2005 application forms are available in PDF and Word format.

Premises Licence Application and Notice of Application Forms

  1. Application for Premises Licence - standard form (PDF 59Kb / 5 pages)
    Application for Premises Licence - standard form (Word 171Kb / 5 pages)

  2. Application for Premises Licence - vessel (PDF 61Kb / 6 pages)
    Application for Premises Licence - vessel (Word 170Kb / 6 pages)

  3. Application for Provisional Statement - standard form (PDF 58Kb / 6 pages)
    Application for Provisional Statement - standard form (Word 164Kb / 6 pages)

  4. Application for Provisional Statement - vessel (PDF 58Kb / 6 pages)
    Application for Provisional Statement - vessel (Word 166Kb / 6 pages)

  5. Notice of Application for Premises Licence - notice to be published (PDF 33Kb / 1 page)
    Notice of Application for Premises Licence - notice to be published (Word 40Kb / 1 page)

  6. Notice of Application for Premises Licence (Form A) - notice to responsible authorities (one applicant only) (PDF 22Kb / 2 pages)
    Notice of Application for Premises Licence (Form A) - notice to responsible authorities (one applicant only) (Word 48Kb / 2 pages)

  7. Notice of Application for Premises Licence (Form B) - notice to responsible authorities (more than one applicant) (PDF 28Kb / 2 pages)
    Notice of Application for Premises Licence (Form B) - notice to responsible authorities (more than one applicant) (Word 62Kb / 2 pages)

  8. Notice of Application for Provisional Statement - notice to be published (PDF 25Kb / 1 page)
    Notice of Application for Provisional Statement - notice to be published (Word 41Kb / 1 page)

  9. Notice of Application for Provisional Statement (Form A) - notice to responsible authorities (one applicant only) (PDF 23Kb / 2 pages)
    Notice of Application for Provisional Statement (Form A) - notice to responsible authorities (one applicant only) (Word 47Kb / 2 pages)

  10. Notice of Application for Provisional Statement (Form B) - notice to responsible authorities (more than one applicant) (PDF 28Kb / 2 pages)
    Notice of Application for Provisional Statement (Form B) - notice to responsible authorities (more than one applicant) (Word 59Kb / 2 pages)

  11. Application to vary a Premises Licence (PDF 69Kb / 5 pages)
    Application to vary a Premises Licence (Word 166Kb / 5 pages)

  12. Application to transfer a Premises Licence (PDF 62Kb / 5 pages)
    Application to transfer a Premises Licence (Word 150Kb / 5 pages)

  13. Application for the reinstatement of a Premises Licence (PDF 60Kb / 4 pages)
    Application for the reinstatement of a Premises Licence (Word 145Kb / 4 pages)

  14. Notice of Application to vary a Premises Licence (PDF 30Kb / 1 page)
    Notice of Application to vary a Premises Licence (Word 44Kb / 1 page)

  15. Notice of Application to vary a Premises Licence (Form A) - notice to responsible authorities (one applicant only) (PDF 32Kb / 2 pages)
    Notice of Application to vary a Premises Licence (Form A) - notice to responsible authorities (one applicant only) (Word 58Kb / 2 pages)

  16. Notice of Application to vary a Premises Licence (Form B) - notice to responsible authorities (more than one applicant) (PDF 40Kb / 3 pages)
    Notice of Application to vary a Premises Licence (Form B) - notice to responsible authorities (more than one applicant) (Word 70Kb / 3 pages)

Miscellaneous Application/Notification Forms

  1. Application for an Unlicensed Family Entertainment Centre Gaming Machine Permit (PDF 41Kb / 3 pages)
    Application for an Unlicensed Family Entertainment Centre Gaming Machine Permit (Word 92Kb / 3 pages)

  2. Gaming Machines in Alcohol Licensed Premises Application/Notification (PDF 60Kb / 4 pages)
    Gaming Machines in Alcohol Licensed Premises Application/Notification (Word 116Kb / 4 pages)

  3. Application for Club Gaming/Club Machine Permit (PDF 43Kb / 6 pages)
    Application for Club Gaming/Club Machine Permit (Word 117Kb / 6 pages)

  4. Temporary Use Notice (PDF 51Kb / 5 pages)
    Temporary Use Notice (Word 157Kb / 5 pages)

  5. Temporary Use Notice (Vessel) (PDF 54Kb / 6 pages)
    Temporary Use Notice (Vessel) (Word 167Kb / 6 pages)

  6. Occasional Use Notice (PDF 51Kb / 4 pages)
    Occasional Use Notice (Word 179Kb / 4 pages)

  7. Application for Small Society Lotteries Registration (PDF 150 Kb / 2 pages)
    Application for Small Society Lotteries Registration (Word 843 Kb / 2 pages)

For further information

  • Contact: Licensing Team, Town Hall, Penrith, CA11 7QF
  • Office Hours:
    Monday to Thursday 8.45am to 5.15pm
    Friday 8.45am to 4.45pm
  • Email: admin.licensing@eden.gov.uk
  • Telephone: 01768 212148 or 01768 212273
  • Fax: 01768 890470

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