Application Forms and Notices

Premises Licence Application Forms

Application Forms – New Application

GA001 Application for a premises licence under the Gambling Act 2005

GA001  Premises_Licence (160KB)

PDF Icon GA001  Premises_Licence (64KB - PDF Help)

GA002 Application for a premises licence under the Gambling Act 2005 (Vessel)

GA002  Premises_Licence (Vessel) (162KB)

PDF Icon GA002  Premises_Licence (Vessel) (68KB - PDF Help)

Application Forms - Provisional Statement

GA003 Application for a provisional statement under the Gambling Act 2005

GA003  Provisional_Statement (155KB)

PDF Icon GA003  Provisional_Statement (67KB - PDF Help)

GA004 Application for a provisional statement under the Gambling Act 2005 (Vessel)

GA004  Provisional_Statement_(Vessel) (156KB)

PDF Icon GA004  Provisional_Statement_(Vessel) (64KB - PDF Help)

Responsible Authority Notice Forms

(To be sent by applicant to notify a Responsible Authority of an application being made to the Licensing Authority)

GA007 Notice of application for a provisional statement (Form A)

GA007 Notice - Provisional Statement (Form A) (51KB)

PDF Icon GA007 Notice - Provisional Statement (Form A) (22KB - PDF Help)

GA008 Notice of application for a provisional statement (Form B)

GA008 Notice - Provisonal_Statement_(Form B) (65KB)

PDF Icon GA008 Notice - Provisonal_Statement_(Form B) (28KB - PDF Help)

GA009Notice of application for a premises licence (Form A)

GA009 Notice - Premises_Licence (Form A) (52KB)

PDF Icon GA009 Notice - Premises_Licence (Form A) (22KB - PDF Help)

GA010Notice of application for a premises licence (Form B)

GA010 Notice - Premises Licence (Form B) (67KB)

PDF Icon GA010 Notice - Premises Licence (Form B) (27KB - PDF Help)

Public Notice of Application

(For display by applicant)

GA015Notice of application for a premises licence under the Gambling Act 2005

GA015 Notice - Premises Licence (41KB)

PDF Icon GA015 Notice - Premises Licence (21KB - PDF Help)

GA016Application for a provisional statement: Form of Notice to be published

GA016 Notice - Provisional Statement (43KB)

PDF Icon GA016 Notice - Provisonal Statement (22KB - PDF Help)

Permit Application Forms

GA011 Application for the conversion or new Grant/Change of name of a Prize Gaming Permit

(for use by those occupying/proposing to occupy premises where facilities for gaming with prizes will be made available)

GA011 Prize Gaming (124KB)

PDF Icon GA011 Prize Gaming (67KB - PDF Help)

GA0012 Application for the conversion or new grant/change of name of an unlicensed family entertainment centre gaming machine permit

(for use by occupiers proposed occupiers of premises intended to be used by the applicant as unlicensed family entertainment centres)

GA012 Family Entertainment Centre  (102KB)

PDF Icon GA012 Family Entertainment Centre (54KB - PDF Help)

GA013Notification of 2 or less gaming machines or gaming machine permit applications (i.e. for greater than 2 machines) for: Conversion/New/Variation/Transfer

(for use by premises licensed to supply alcohol for consumption on the premises)

GA013 Alcohol Premises Gaming Machines (146KB)

PDF Icon GA013 Alcohol Premises Gaming Machines (63KB - PDF Help)

Lottery  Forms

Small Society Lotteries Application Form

Small_society_lottery_registration (87KB) Application Form

PDF Icon Small society lottery registration Application Form (PDF) (738KB - PDF Help)

Schedule 11 to the Gambling Act 2005 - Lottery Return Forms

Lottery Return Form (99KB)

PDF Icon Lottery Return Form (PDF) (50KB - PDF Help)