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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.

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

Form Number Application Form
6 Application for a personal licence (form 8 also required) (PDF 83Kb / 3 pages)
Application for a personal licence (form 8 also required) (Word Document 154Kb / 3 pages)
7 Application to renew a personal licence (PDF 78Kb / 3 pages)
Application to renew a personal licence (Word Document 144Kb / 3 pages)
8 Disclosure of convictions and declaration (PDF 71Kb / 3 pages)
Disclosure of convictions and declaration (Word Document 113Kb / 3 pages)

Premises Licences and Club Premises Certificates Forms

Form Number Application Form
9 Application for a premises licence (PDF 283Kb / 18 pages)
Application for a premises licence (Word Document 521Kb / 18 pages)
10 Application for a provisional statement (PDF 295Kb / 19 pages)
Application for a provisional statement (Word Document 493Kb / 19 pages)
11 Application to vary a premises licence (PDF 266Kb / 18 pages)
Application to vary a premises licence (Word Document 459Kb / 18 pages)
11A Application for a minor variation to a premises licence or club premises certificate (PDF 101Kb / 7 pages)
Application for a minor variation to a premises licence or club premises certificate (Word Document 152Kb / 7 pages)
11B Application for mandatory alcohol condition requiring a DPS to be disapplied (PDF 106Kb / 5 pages)
Application for mandatory alcohol condition requiring a DPS to be disapplied (Word Document 122Kb / 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 312Kb / 6 pages)
Application to transfer a premises licence (Word Document 193Kb / 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 234Kb / 15 pages)
Application for a club premises certificate (Word Document 418Kb / 15 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 241Kb / 17 pages)
Application to vary a club premises certificate (Word Document 437Kb / 17 pages)
20 Application for the review of a premises licence or club premises certificate (PDF 142Kb / 6 pages)
Application for the review of a premises licence or club premises certificate (Word Document 154Kb / 6 pages)
21 Temporary Event Notice (PDF 109Kb / 10 pages)
Temporary Event Notice (Word Document 228Kb / 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

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