Licensing Act 2003 - Application Forms

In the red column to the left you will find several Licensing Act applications that can be fully completed and submitted online. Payment can also be made online. However, if you cannot find the appropriate application to complete online, below is a more comprehensive list of forms that can be printed off and completed manually. Once completed it can be returned to:

Licensing Office, North West Leicestershire District Council, Council Offices, Whitwick Road, Coalville, Leicestershire, LE67 3FJ.

Personal Licences

• Personal New Guidance (PDF Document, 0.1 Mb)
• Personal Licence Application (PDF Document, 0.1 Mb)
• Disclosure of Convictions and Declaration (PDF Document, 0.1 Mb)
• Relevant Offences (Word Document, 0.1 Mb)
• Fees Licensing Act 2003 (PDF Document, 0.1 Mb)

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Premises Licences

• Premises Guidance (Word Document, 0.1 Mb)
• Premises Licence Application (Word Document, 0.6 Mb)
• Application to Vary Premises Licence (PDF Document, 0.1 Mb)
• Application to Vary DPS (PDF Document, 0.1 Mb)
• Consent of Individual Being Named DPS (PDF Document, 0.1 Mb)
• Application to Transfer Premises Licence (Word Document, 0.2 Mb)
• Consent to Transfer (PDF Document, 0.1 Mb)
• Interim Authority Application (Word Document, 0.2 Mb)
• Provisional Statement Application (Word Document, 0.6 Mb)
• Notification of Interest (PDF Document, 0.1 Mb)
• Application for Review of PL or CPC (PDF Document, 0.1 Mb)
• Licensing Act Responsible Authorities (PDF Document, 0.1 Mb)
• Fees Licensing Act 2003 (PDF Document, 0.1 Mb)
• Ceiling Certificate for Premises (Word Document, 0.2 Mb)

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Club Premises Certificate

• Club Premises Certificate Application (PDF Document, 0.1 Mb)
• Club Premises Certificate - Declaration (PDF Document, 0.1 Mb)
• Application for Review of PL or CPC (PDF Document, 0.1 Mb)
• Application to Vary Club Premises Certificate (PDF Document, 0.1 Mb)
• Licensing Act Responsible Authorities (PDF Document, 0.1 Mb)
• Fees Licensing Act 2003 (PDF Document, 0.1 Mb)
• Ceiling Certificate for Club Premises (Word Document, 0.2 Mb)

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Temporary Events

• Temporary Event Notice Application (Word Document, 0.2 Mb)
• Fees Licensing Act 2003 (PDF Document, 0.1 Mb)

The Police address for TENs is:-

Leicestershire Constabulary
Licensing Section
Mansfield House
74 Belgrave Gate
Leicester
LE1 3GG

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Amusement with Prizes Machines - Application Forms

• Licensed Premises Gaming Machine Permit (Word Document, 0.1 Mb)
• NOTIFICATION of 2 GAMING MACHINES - ALCOHOL PREMISES (Word Document, 0.1 Mb)