Licensing Act 2003 - Application forms (all)

This page contains information about the Licensing Act 2003 and the different applications forms used to apply for licences. If you need any help or advice about anything on this page please contact us by telephone or email. Our telephone line is open Monday to Thursday 9am - 5pm and Friday 9am - 4:30pm. You can also offer us feedback on our service by filling out our online customer feedback form.

Overview of how to use this page.

On this page you will find information about the different application forms and types of applications that can be made under the Licensing Act 2003. All the documents can be downloaded from this page in PDF format. In order to help you find which forms you need the page is split into 5 sections as follows:

Section 1 - Premises Licences - New Applications  

Section 2 - Premises Licences - Applications relating to existing Premises Licences

Section 3 - Personal Licences 

Section 4 - Club Premises Certificates

Section 5 - Forms Directory - Information about all the forms, their codes and what each of the forms does.

If you can not find the documents you require, or you would like the application forms in Microsoft Word format, so you can fill them out electronically please contact Entertainment Licensing on the telephone number at the bottom of this page and they will be happy to help.

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Section 1 - Premises Licence New Applications

Form Code Application for a new Premises Licence(no alcohol)

Application for a new Premises Licence(including alcohol)

Application for a provisional statement
 PREM1                X                X  
 PREM2                  X  
 PREM3    
 PREM4      
 PREM5      
 PREM6                    X
 PREM7             
 PREM8      
 PREM9      
 PERS1                   X  
 PERS2                   X  
 PERS3      
 CLUB1      
 CLUB2      
 CLUB3      
 NOTICE1                 X                X  
 NOTICE2      
 NOTICE3              
 NOTICE4      
 NOTICE5                    X

Section 2 - Applications relating to existing Premises Licences  

Form Code Application to vary an existing Premises Licence

Application to change the named DPS on a Premises Licence

Application to transfer a Premises Licence Application to serve an interim authority notice Application to register a notice of interest in a premises
 PREM1          
 PREM2             X      
 PREM3             X      
 PREM4             X    
 PREM5             X    
 PREM6          
 PREM7          X        
 PREM8               X  
 PREM9                 X
 PERS1          
 PERS2          
 PERS3          
 CLUB1          
 CLUB2          
 CLUB3          
 NOTICE1          
 NOTICE2          
 NOTICE3           X        
 NOTICE4          
 NOTICE5          

Section 3 - Personal Licences

Form Code Application for a Personal Licence

Application to renew a Personal Licence

 PREM1                              
 PREM2                 
 PREM3  
 PREM4    
 PREM5    
 PREM6    
 PREM7           
 PREM8    
 PREM9    
 PERS1                           X                
 PERS2                           X                            X               
 PERS3                             X 
 CLUB1    
 CLUB2    
 CLUB3    
 NOTICE1               
 NOTICE2    
 NOTICE3            
 NOTICE4    
 NOTICE5    

Section 4 - Club Premises Certificates

Form Code Application for a new Club Premises Certificate

Application to vary an existing Club Premises Certificate

 PREM1                              
 PREM2                 
 PREM3  
 PREM4    
 PREM5    
 PREM6    
 PREM7           
 PREM8    
 PREM9    
 PERS1                
 PERS2
 PERS3  
 CLUB1                           X   
 CLUB2                           X   
 CLUB3                             X  
 NOTICE1               
 NOTICE2                           X   
 NOTICE3            
 NOTICE4                             X  
 NOTICE5    

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Section 5 - Forms Directory

In the table below you can see the official name of each application form together with a description of what the form does. The form codes correspond with the documents you can download from this page.

Form Code Form name Form Details
PREM1 Application for a premises licence

Use this form to apply for a brand new premises licence to authorise one or more licensable activities at a given premise. The licensable activities authorised by a premises licence are: the sale or supply of alcohol; the provision of regulated entertainment and the provision of late night refreshment between the hours of 23:00 and 05:00

PREM2

DPS Consent Form

Use this form if you are making an application for a premises licence which includes the sale or supply of alcohol. This form must be filled in and signed by your 'Designated Premises Supervisor'. Used in conjunction with a PREM1.
PREM3 Application to vary a premises licence to specify DPS Use this form to alert the Licensing Authority that you are changing the named 'Designated Premises Supervisor' of a premises licence.
PREM4 Application to transfer a premises licence Use this form to transfer a somebody else's premises licence into your name. Should be used in conjunction with PREM5.
PREM5 Consent of premises licence holder to transfer This form is used by a premises licence holder to give their consent to their premises licence being transferred into another persons or organisations name. Used in conjunction with PREM4.
PREM6 Application for a provisional statement Use this form to apply for a provisional premises licence. This form is intended for premises which are being built or are about to be altered and or extended to allow licensable activities in the future.
PREM7 Application to vary a premises licence Use this form to apply for a variation of an existing premises licence. Eg to add extra hours or ask for licensable activities that the current premises licence does not allow.
PREM8 Interim Authority Notice This form is used to allow a premises licence which has lapsed (because for example its holder has died) to be reinstated to allow the business to continue trading.
PREM9 Notification of an interest in premises under Section178 If you are a freeholder or leaseholder who holds an interest in a property, which is the subject of a premises licence, you can use this form to register a notification of interest in the premises so you will be kept informed when changes take place to the premises licence.
PERS1 Application for a personal licence This form is used by an individual to apply for a new personal licence which allows the holder to authorise the sale or supply of alcohol.
PERS2 Disclosure of convictions and declaration This form must be submitted in addition to a PERS1, PERS4 or PERS3 and allows an applicant for a personal licence to submit a disclosure and declaration of convictions.
PERS3 Application to renew a personal licence This form is used by the holder of a personal licence to apply to renew the licence. Personal licences once issued last for ten years.
CLUB1 Application for a club premises certificate Use this from to apply for a brand new club premises certificate to authorise one or more licensable activities at a registered club.
CLUB2 Declaration for a club premises certificate to be granted This form is used in conjunction with a CLUB1 and allows the applicant to make a declaration that the business or organisation in question is a qualifying club as defined under section 61 of the 2003 Licensing Act.
CLUB3 Application to vary a club premises certificate Use this form to apply for a variation of an existing club premises certificate Eg to add extra hours or ask for licensable activities that the current club premises certificate does not allow.
NOTICE1 Premises licence notice of application This form is used to advertise a new premises licence application. The form once filled out must be displayed on or at the premises.
NOTICE2 Club Premises certificate notice of application This form is used to advertise a new club premises certificate application. The form once filled out must be displayed on or at the premises.
NOTICE3 Premises licence notice of application to vary This form is used to advertise an application to vary an existing premises licence. The form once filled out must be displayed on or at the premises.
NOTICE4 Club premises certificate notice of application to vary This form is used to advertise an application to vary an existing club premises certificate. The form once filled out must be displayed on or at the premises.
NOTICE5 Notice of application for a provisional statement This form is used to advertise an application for a provisional statement. The form once filled out must be displayed on or at the premises.

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For further advice or information please contact Entertainment Licensing:

Entertainment Licensing
Civic Hall
Leeds
LS1 1UR

Telephone: 0113 247 4095 or 0113 247 4720

Fax: 0113 224 3885


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