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03 September 2010
Home / Business / Licensing / Alcohol and entertainment licensing / Licensing application forms

Licensing application forms

Below is a guide to which application forms you will need to obtain your licence.

Under the heading of each licence type are several links which you can use to download the relevant forms.

Please note that you will need to complete all of the forms (in PDF or Word format) listed below the licence type. You do not have to complete the checklists or guidance notes, these are for your benefit.

To use PDF forms: Print off the relevant form and fill in manually

To Use Word forms: Select the relevant form and save to a file on your personal computer. This form can be filled in electronically and then printed off, signed and returned to the licensing team.

**PLEASE NOTE: Some of these forms are in the process of being updated and are currently unavailable.** 

Application for a Personal Licence

Application for a Premises Licence

Application for a Club Premises Certificate

Temporary Event Notices

If you would like a hard copy of the above forms sent to you please telephone 01732 227000.

There are other forms available which should be filled in in other situations. Below are links to all of the forms which may be relevant to you.

Personal Licence Forms

  1. LA126 Application for a copy of personal licence ( PDF 18K file details)
  2. LA132 Convictions attained since grant ( PDF File 7KB file details)
  3. LA127 Notification of change of name or address ( PDF 94K file details)
  4. LA128-4 Notify court of Notifiable Offence ( PDF File 20KB file details)
  5. LA128-1(3) Notify court of personal licence ( PDF File 7KB file details)
  6. LA117C Application to renew a personal licence ( PDF 22K file details)
  7. LA116 Notice to surrender personal licence ( PDF File 18KB file details)
  8. LA123 Notice of conviction during application period ( PDF File 7KB file details)
  9. LA124-2 Notice of Conviction after grant of Personal Licence ( PDF File 16KB file details)

Premises Forms

  1. LA33 Notification of change of name or address ( PDF 94K file details
  2. LA25 Copy of premises licence or summary ( PDF 9K file details)
  3. LA43-5 Steps taken to obtain consent ( PDF File 21KB file details)
  4. LA44-4B Consent of licence holder to transfer DCMS ( PDF 21K file details)
  5. LA29 Application for provisional statement DCMS ( PDF 158K file details)
  6. LA51-87 Review of licence DCMS ( PDF 56K file details)
  7. LA28 Notice of surrender of premises licence ( PDF File 15KB file details)
  8. LA42 Application to transfer premises licence DCMS ( PDF 67K file details)
  9. LA37 Vary the Premises Supervisor DCMS ( PDF 51K file details)
  10. LA34 Vary a premises licence DCMS ( PDF 152K file details)
  11. LA178 Notification of interest in premises DCMS ( PDF 65K file details
  12. LA41-1 Request to be removed as DPS ( PDF File 12KB file details)
  13. LA47 Interim Authority Notice DCMS ( PDF 74K file details)
  14. Minor variation to a premises licence or club premises certificate ( PDF File 165KB file details
  15. Designated premises supervisor - Variation of mandatory condition ( PDF File 75KB file details)

Club Premises Certificate