Licensing Act 2003 application forms

Licensing Act 2003 application forms are below.

Read the Licensing Act guidance documents for help in completing the forms.

Please note that we are under a duty to protect the public funds we administer 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, we may also share the information with other public bodies responsible for auditing or administering public funds.

Read the National Fraud Initiative web page for further information or contact a member of the licensing team.

Personal licence forms

Personal licence application form and disclosure of convictions declaration
Form number Application form
6

Application for a personal licence (form 8 also required) (PDF 100Kb / 4 pages)

Application for a personal licence (form 8 also required) (Word Document 900Kb / 4 pages)

8

Disclosure of convictions and civil immigration penalties and declaration (PDF 124Kb / 4 pages)

Disclosure of convictions and civil immigration penalties and declaration (Word Document 854Kb / 4 pages)

Premises licences and club premises certificates forms

Application forms for premises licences and club premises
Form number Application form
9

Application for a premises licence (PDF 290Kb / 24 pages)

Application for a premises licence (Word Document 1.3Mb / 24 pages)

10

Application for a provisional statement (PDF 266Kb / 21 pages)

Application for a provisional statement (Word Document 1.2MKb / 21 pages)

11

Application to vary a premises licence (PDF 253Kb / 20 pages)

Application to vary a premises licence (Word Document 1.2Mb / 20 pages)

11A

Application for a minor variation to a premises licence or club premises certificate (PDF 216Kb / 9 pages)

Application for a minor variation to a premises licence or club premises certificate (Word Document 913Kb / 9 pages)

11B

Application for mandatory alcohol condition requiring a DPS to be disapplied (PDF 166Kb / 5 pages)

Application for mandatory alcohol condition requiring a DPS to be disapplied (Word Document 130Kb / 5 pages)

12

Application to vary a premises licence to specify DPS (PDF 120Kb / 4 pages).

Application to vary a premises licence to specify DPS (Word Document 865Kb / 4 pages)

13

Application to transfer a premises licence (PDF 179Kb / 12 pages)

Application to transfer a premises licence (Word Document 1Mb / 12 pages)

14

DPS consent (Part A)/Licence holder transfer consent (Part B) (PDF 16Kb / 3 pages).

DPS consent (Part A)/Licence holder transfer consent (Part B) (Word Document 61Kb / 3 pages)

15

Interim authority notice (PDF 166Kb / 10 pages)

Interim authority notice (Word Document 989Kb / 10 pages)

16

Notification of an interest in premises under S178 (PDF 132Kb / 5 pages)

Notification of an interest in premises under S178 (Word Document 186Kb / 5 pages)

17

Application for a club premises certificate (PDF 203Kb / 17 pages)

Application for a club premises certificate (Word Document 1.1Mb / 17 pages)

18

Declaration for a club premises certificate to be granted Part A (PDF 71Kb / 5 pages)

Declaration for a club premises certificate to be granted Part A (Word Document 860Kb / 5 pages)

19

Application to vary a club premises certificate (PDF 208Kb / 19 pages)

Application to vary a club premises certificate (Word Document 1.2Mb / 19 pages)

20

Application for the review of a premises licence or club premises certificate (PDF 128Kb / 6 pages)

Application for the review of a premises licence or club premises certificate (Word Document 152Kb / 6 pages)

21

Temporary Event Notice (PDF 469Kb / 13 pages).

Temporary Event Notice (Word Document 975Kb / 13 pages).

Last updated: Monday, 27 September, 2021.