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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 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. 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 195Kb / 6 pages)

Application for a personal licence (form 8 also required) (Word Document 958Kb / 6 pages)

8

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

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

Premises licences and club premises certificates forms

Form number Application form
9

Application for a premises licence (PDF 412Kb / 23 pages)

Application for a premises licence (Word Document 1.3Mb / 23 pages)

10

Application for a provisional statement (PDF 272Kb / 21 pages)

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

11

Application to vary a premises licence (PDF 356Kb / 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 866Kb / 4 pages)

Application to vary a premises licence to specify DPS (Word Document 202Kb / 4 pages)

13

Application to transfer a premises licence (PDF 229Kb / 8 pages)

Application to transfer a premises licence (Word Document 1Mb / 8 pages)

14

DPS consent (Part A)/Licence holder transfer consent (Part B) (PDF 38Kb / 3 pages)

DPS consent (Part A)/Licence holder transfer consent (Part B) (Word Document 60Kb / 3 pages)

15

Interim authority notice (PDF 180Kb / 8 pages)

Interim authority notice (Word Document 980Kb / 8 pages)

16

Notification of an interest in premises under S178 (PDF 234Kb / 5 pages)

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

17

Application for a club premises certificate (PDF 180Kb / 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 180Kb / 5 pages)

Declaration for a club premises certificate to be granted Part A (Word Document 859Kb / 5 pages)

19

Application to vary a club premises certificate (PDF 199Kb / 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 213Kb / 6 pages)

Application for the review of a premises licence or club premises certificate (Word Document 157Kb / 6 pages)

21

Temporary Event Notice (PDF 169Kb / 13 pages)

Temporary Event Notice (Word Document 972Kb / 13 pages)