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Licensing Act 2003 - Forms

Guide to Completing your Operating Schedule

•  Guide to Completing your Operating Schedule - Word 
•  Guide to Completing your Operating Schedule - pdf

 

The Licensing Act 2003 (Personal licences) Regulations 2005

•  Application for a Personal Licence - Word
•  Application for a Personal Licence - pdf 
  Allows the holder to sell alcohol

 

•  Application to renew a Personal Licence - Word
•  Application to renew a Personal Licence - pdf
  To renew personal licence on expiry 

 

•  Disclosure of convictions and declaration - Word
•  Disclosure of convictions and declaration - pdf
  For applicant to declare any relevant convictions or foreign convictions or to declare they do not have convictions. 

 

 

The Licensing Act 2003 (Premises licences and club premises certificates) Regulations 2005

•  Notification of an interest in premises - Word, 115kb
•  Notification of an interest in premises - pdf, 94kb
  Where the freeholder or other person with an interest in a premises wishes to be kept informed of any developments in respect of those premises.  Must be renewed every 12 months

 

•  Application for Premises Licence - Word, 429kb
•  Application for Premises Licence - pdf, 102kb
  To apply licensable activities to be carried out at a premises

 

•  Application for a provisional statement - Word, 419kb
•  Application for a provisional statement - pdf, 100kb
  Where the applicant is palnning to build a new premises or materially alter an existing premises and wishes to ensure a licence will be issued before commencing work

 

•  Application to vary a premises licence - Word, 388kb
•  Application to vary a premises licence - pdf, 146kb
  Where a premises licence is already in force and the licence holder wants to change either the hours, licensable activities or area to be covered by the premises licence

 

•  Consent of individual to be specified as premises supervisor - Word, 34kb
•  Consent of individual to be specified as premises supervisor - pdf, 21kb
  Application to vary a premises licence to specify an individual as designated premises supervisor. Form of consent given by the person whom the applicant wishes to be the Premises Supervisor

 

•  Application to transfer a premises licence - Word, 120kb
•  Application to transfer a premises licence - pdf, 40kb
  Where the licence changes hands

 

•  Interim Authority Notice - Word, 113kb
•  Interim Authority Notice - pdf, 39kb
  Must be completed within 7 days of the death, insovency or mental incapacity of the licence holder in order to keep the premises licence in force.

 

•  Application for the review of a premises or club premises certificate - Word, 92kb
•  Application for the review of a premises or club premises certificate - pdf, 42kb
  To be completed by an interested party or responsible authority in order to call for a hearing where there is evidence of breach of the Licensing Act 2003 or failure to promote the licensing objectives

 

•  Declaration for a club premise certificate - Word, 61kb
•  Declaration for a club premise certificate - pdf, 35kb
  To be completed by the club committee to certify that the club is a boan fide club.  Accompanies application form.

 

•  Application for a club premises certificate to be granted - Word, 357kb
•  Application for a club premises certificate to be granted - pdf, 133kb
  To apply for licensable activities to be carried out at a club premises

 

•  Application to vary a club premises certificate - Word, 388kb
•  Application to vary a club premises certificate - pdf, 146kb
  Where a club premises certificate is already in force and the certificate holder wants to change either the hours, licensable activities or area to be covered by the club premises certificate 

 

•  Application for a minor variation - Word, 75kb
•  Application for a minor variation - pdf, 49kb
  When variation that will not effect licensing objectives required

 

•  Application to disapply requirement for DPS for community halls - Word, 111kb
•  Application to disapply requirement for DPS for community halls - pdf, 40kb
  To allow sale of alcohol without DPS

 

Temporary Events Notices

Allows a member of the public to give notice of an event not normally covered by a premises or club premises certificate.

• Temporary Events form - Word, 164kb 
• Temporary Events form - pdf, 124kb
• More on Temporary Event Notices

Objections Form

This form is designed to be used by people who have concerns over the hours that a pub intends to stay open

 

•  Representation form - Word, 201kb
•  Representation form - pdf, 52kb
  Please complete and sent to the Licensing Section against or in support of an application
  

 

 

 

Other forms

Other, less used forms are available by contacting the Licensing Section or the DCMS

 

 

 

 

Contact the Licensing Section

Telephone: 01304 872295
E-mail: licensing@dover.gov.uk

 

Post:
Licensing Section
Dover District Council
White Cliffs Business Park
Dover
Kent CT16 3PJ

 

 

 

 

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