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 217Kb / 3 pages)
    Application for an unlicensed family entertainment centre gaming machine permit (Word 106Kb / 3 pages)

  2. Gaming machines in alcohol licensed premises application/notification (PDF 85Kb / 4 pages)
    Gaming machines in alcohol licensed premises application/notification (Word 114Kb / 4 pages)

  3. Application for club gaming/club machine permit (PDF 146Kb / 6 pages)
    Application for club gaming/club machine permit (Word 864Kb / 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 102 Kb / 2 pages)
    Application for small society lotteries registration (Word 846 Kb / 2 pages)

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Last updated: Tuesday, 12 October, 2021.