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Eden District Council
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Licensing Act 2003 Application Forms

Licensing Act 2003 application forms are available in PDF and Microsoft Word format. Word versions can be downloaded and filled in electronically - right click on the relevant application form link and choose 'Save Target As'. You can then save the form in the appropriate place on your computer and complete it offline.

Please note that Eden District Council is under a duty to protect the public funds it administers and, to this end, may use the information provided in making a licence application for the purposes of preventing and detecting fraud. For the same purposes, it may also share the information with other public bodies responsible for auditing or administering public funds. For further information, see the National Fraud Initiative page on our website or contact a member of the licensing team.

Personal Licence Forms

6 Application for a personal licence (form 8 also required) (PDF 56Kb / 3 pages) 
Application for a personal licence (form 8 also required) (Word Document 143Kb / 3 pages)
7 Application to renew a personal licence (PDF 51Kb / 3 pages)
Application to renew a personal licence (Word Document 130Kb / 3 pages)
8 Disclosure of convictions and declaration (PDF 38Kb / 3 pages) 
Disclosure of convictions and declaration (Word Document 102Kb / 3 pages)

Premises Licences and Club Premises Certificates Forms

9 Application for a premises licence (PDF 581Kb / 21 pages)
Application for a premises licence (Word Document 544Kb / 21 pages)
10 Application for a provisional statement (PDF 572Kb / 22 pages) 
Application for a provisional statement (Word Document 537Kb / 22 pages)
11 Application to vary a premises licence (PDF 294Kb / 21 pages) 
Application to vary a premises licence (Word Document 569Kb / 21 pages)
11A Application for a minor variation to a premises licence or club premises certificate (PDF 137Kb / 8 pages)
Application for a minor variation to a premises licence or club premises certificate (Word Document 135Kb / 8 pages)
11B Application for mandatory alcohol condition requiring a DPS to be disapplied (PDF 122Kb / 5 pages)
Application for mandatory alcohol condition requiring a DPS to be disapplied (Word Document 106 Kb / 5 pages)
12 Application to vary a premises licence to specify DPS (PDF 55Kb / 3 pages) 
Application to vary a premises licence to specify DPS (Word Document 117Kb / 3 pages)
13 Application to transfer a premises licence (PDF 301Kb / 6 pages) 
Application to transfer a premises licence (Word Document 191Kb / 6 pages)
14 DPS consent (Part A)/Licence holder transfer consent (Part B) (PDF 56Kb / 3 pages) 
DPS consent (Part A)/Licence holder transfer consent (Part B) (Word Document 51Kb / 3 pages)
15 Interim authority notice (PDF 241Kb / 4 pages) 
Interim authority notice (Word Document 173Kb / 4 pages)
16 Notification of an interest in premises under s178 (PDF 75Kb / 5 pages) 
Notification of an interest in premises under s178 (Word Document 183Kb / 5 pages)
17 Application for a club premises certificate (PDF 272Kb / 18 pages) 
Application for a club premises certificate (Word Document 530Kb / 18 pages)
18 Declaration for a club premises certificate to be granted Part A (PDF 57Kb / 6 pages) 
Declaration for a club premises certificate to be granted Part A (Word Document 117Kb / 6 pages)
19 Application to vary a club premises certificate (PDF 280Kb / 20 pages) 
Application to vary a club premises certificate (Word Document 538Kb / 20 pages)
20 Application for the review of a premises licence or club premises certificate (PDF 71Kb / 6 pages) 
Application for the review of a premises licence or club premises certificate (Word Document 154Kb / 6 pages)
21 Temporary Event Notice (PDF 255Kb / 10 pages)
Temporary Event Notice (Word Document 222Kb / 10 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