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Licensing

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 37Kb / 2 pages) Application for Small Society Lotteries Registration (Word 100Kb / 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

Updated 10 January 2013