This is archived web content selected for preservation by The National Archives.
This snapshot was taken on
05/03/2008
.
External links, forms and search boxes may not function within these archived websites.
.
Skip to channel navigation Skip to main content access key for access keys (alt + 0) access key for home access key for RSS access key for site map access key for help access key for terms and conditions access key for contact us access key for about us access key for crown copyright access key for what we do access key for freedom of information requests access key for media releases access key for reference library access key for working with us

Department for Culture Media and Sport

invisible link for body section anchor

4. application forms

Licensing Authorities will accept applications for Gambling Act 05 premises licences from 21 May 2007. The forms to apply for a premises licence are below. These forms must be returned to the Licensing Authority relevant to your premises. The appropriate fee must also be submitted.

You will also find the forms to be used to give notice of your application to Responsible Authorities and to the public. You must give notice to the public outside the premises and in a local newspaper. Please consult the regulations for further details. Forms for ancillary applications in relation to premises licences (e.g.  applications to vary or transfer) will be made available in due course.

NOTE: These forms cannot be amended in any way.  If Licensing Authorities wish to add a logo to forms, they should access versions of the forms through the LACORS website.

These application forms are offered in MS Word and PDF versions.

Downloading a form

To download a form, right-mouse button over the relevant application form link and choose ' Save Target As...' , you will then be able to save the application form in the appropriate place on your computer and complete the form offline at your leisure.  If you are completing a form by hand, please use the PDF version.

Word versions

  1. Application for a Club Gaming or Club Machine Permit (as amended October 2007) [ 93kb]
  2. Application for Premises Licence - standard form [122kb]
  3. Application for Premises Licence - transitional conversion standard [127kb] updated 29/03/07
  4. Application for Premises Licence - transitional conversion vessels only [126kb]
  5. Application for Premises Licence - vessels only [91kb]
  6. Application for Provisional Statement - standard form [117kb]
  7. Application for Provisional Statement - vessels only [119kb]
  8. Application for the reinstatement of a Premises Licence [108kb]
  9. Application form for registration to run a small society lottery [63kb ]
  10. Application to transfer a Premises Licence [127kb]
  11. Application to vary a Premises Licence [131kb]
  12. Notice of Application for a Premises Licence (Form A) [36kb]
  13. Notice of Application for Premises Licence - notice to be published [39kb]
  14. Notice of Application for Premises Licence - notice to responsible authorities  [64kb]
  15. Notice of Application for a Provisional Statement (responsible authorities) Form A [48kb]
  16. Notice of Application for a Provisional Statement - notice to responsible authorities  [62kb]
  17. Notice of Application for a Provisional Statement - to be published [40kb]
  18. Temporary use notice vessels [124kb]
  19. Temporary use notice for premises [116kb]
  20. Application for review of a premsies licence [86kb]
  21. Notice of application for review to premises licence holder and responsible authorities [53kb]
  22. Notice of application for review to be published [45kb]

top

PDF versions

  1. Application for a Club Gaming or Club Machine Permit (as amended October 2007) [46kb]
  2. Application for Premises Licence - standard form [27kb]
  3. Application for Premises Licence - transitional conversion standard [29kb]
  4. Application for Premises Licence - transitional conversion vessels only [29kb]
  5. Application for Premises Licence - vessels only [55kb]
  6. Application for Provisional Statement - standard form [26kb]
  7. Application for Provisional Statement - vessels only [26kb]
  8. Application for the reinstatement of a Premises Licence [25kb]
  9. Application form for registration to run a small society lottery [12kb]
  10. Application to transfer a Premises Licence [27kb]
  11. Application to vary a Premises Licence [27kb]
  12. Notice of Application for a Premises Licence (Form A) [16kb]
  13. Notice of Application for Premises Licence - notice to be published  [25kb]
  14. Notice of Application for Premises Licence - notice to responsible authorities  [12kb]
  15. Notice of Application for a Provisional Statement (responsible authorities) Form A [10kb]
  16. Notice of Application for a Provisional Statement - notice to responsible authorities  [10kb]
  17. Notice of Application for a Provisional Statement - to be published  [17kb]
  18. Temporary use notice vessels [27kb]
  19. Temporary use notice for premises [26kb]
  20. Application for review of a premsies licence [15kb]
  21. Notice of application for review to premises licence holder and Responsible authorities [19kb]
  22. Notice of application for review to be published [17kb]

 

Link to download Adobe Reader - opens new browser window


If you have questions regarding these forms please use our contact us form for help.

 

Last updated 29 November 2007

Back to top

Directgov - widest range of government information and services online - link opens in a new browser window I C R A website - link opens in a new browser window Postitive About Disabled People - link opens in a new browser window info4local- latest government information - link opens in a new browser window 		 graphics version  printer friendly versionprinter friendly version