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Licensing Act 2003 - Application Forms

Application forms for the Licensing Act 2003 are available below. Forms for new personal licences, premises licences and club premises certificates, and application forms to convert existing licences and certificates can be accessed and printed below.

Completed forms should be submitted to the 'licensing authority', Rotherham Metropolitan Borough Council, and the relevant responsible bodies, where applicable.

Temporary Event Notice
For people wishing to hold a temporary event involving one or more licensable activity.

This is a PDF Document Icon Temporary Events Notice Application Form (98kb)


Personal Licence Forms
For existing justices' licence holders converting and applicants for new personal licences.

This is a PDF Document Icon Application for personal licence (new) (64k)

This is a PDF Document Icon Application to renew a personal licence (53k)

This is a PDF Document Icon Disclosure of convictions and declarations (44k)


Premises Licences and Club Premises Certificate Forms
For applications for new premises licences and club premises certificates.

This is a PDF Document Icon Application for a premises licence (67k)

This is a PDF Document Icon Application for a provisional statement (61k)

This is a PDF Document Icon Application to vary a premises licence (66k)

This is a PDF Document Icon Application to vary a premises licence to specify DPS (35k)

This is a PDF Document Icon Application to transfer a premises licence (55k)

This is a PDF Document Icon Consent of individual being named as DPS (24k)

This is a PDF Document Icon Interim Authority Notice (45k)

This is a PDF Document Icon Notification of an interest in premises (66k)

This is a PDF Document Icon Application for a club premises certificate (55k)

This is a PDF Document Icon Declaration for a club premises certificate to be granted (69k)

This is a PDF Document Icon Application to vary a club premises certificate (47k)


Application for the Review of a Premises Licence or Club Premises Certificate

This is a PDF Document Icon Application form for review of licence (68k)

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