Due to the impact that Coronavirus is having, we have had to reduce our phoneline opening hours.

Our phonelines are open on Monday, Wednesday and Friday between 10 am and 4 pm.

You can use the contact us service to get answers to common questions or send us a contact request.

If gambling problems are affecting you or those close to you, support is available 24 hours a day, 7 days a week through GamCare. You can call them free on 0808 8020 133 or go to gamcare.org.uk.

You can also read our Guidance and FAQs for more information.
Toggle menu Search our website…

Appendix E - Summary of statutory application forms and notices

  1. Appendix E: Summary of statutory application forms and notices 

Back To TopAppendix E: Summary of statutory application forms and notices 

These forms are available in the LA Toolkit

List of prescribed forms

Application

Application for a premises licence under the Gambling Act 2005 (standard form)
Application for a premises licence under the Gambling Act 2005 (vessel)
Notice of application for a premises licence under the Gambling Act 2005 (to be published)
Notice of application for a premises licence (Form A) (for responsible authorities)
Notice of application for a premises licence (Form B) (for responsible authorities)
Summary of the Terms and Conditions of a premises licence
Premises licence
Notice of a grant of an application for a premises licence
Annex A – form to accompany notice of grant (conditions to be attached)
Annex B – form to accompany notice of grant (conditions to be excluded)
Annex C – form to accompany notice of grant (representations)
Notice of rejection of an application for a premises licence

Variation

Application to vary a premises licence under the Gambling Act 2005
Notice of Application to vary a premises licence under the Gambling Act 2005 (to be published)
Notice of Application to vary a premises licence (Form A) (for responsible authorities)
Notice of Application to vary a premises licence (Form B) (for responsible authorities)
Notice of grant of an application to vary a premises licence
Annex A – form to accompany notice of grant (conditions to be attached)
Annex B – form to accompany notice of grant (conditions to be excluded)
Annex C – form to accompany notice of grant (representations)
Notice of rejection of an application to vary a premises licence

Review

Application for a review of a premises licence under the Gambling Act 2005
Notice of application for a review of a premises licence under the Gambling Act 2005
Notice of application for a review of a premises licence (to the premises licence holder and responsible authorities)
Notice of intention to hold a review of a premises licence under the Gambling Act 2005
Notice of intention to hold a review of a premises licence (to the premises licence holder)
Notice of the decision on a review of a premises licence

Provisional

Application for a provisional statement under the Gambling Act 2005 (standard form)
Notice of application for a provisional statement under the Gambling Act 2005
Application for a provisional statement under the Gambling Act 2005 (vessel)
Notice of application for a provisional statement (Form A) (for responsible authorities)
Notice of application for a provisional statement (Form B) (for responsible authorities)
Provisional statement
Notice of grant of an application for a provisional statement
Annex A – form to accompany notice of grant (conditions to be attached)
Annex B – form to accompany notice of grant (conditions to be excluded)
Annex C – form to accompany notice of grant (representations)
Notice of rejection of an application for a provisional statement

Transfer

Application to transfer a premises licence under the Gambling Act 2005
Notice of application to transfer a premises licence (Form A ) (for responsible authorities)
Notice of application to transfer a premises licence (Form B ) (for responsible authorities)
Summary of terms and conditions of a premise licence
Premises Licence
Notice of grant of an application to transfer a premises licence
Annex A – form to accompany notice of grant (conditions to be attached)
Annex B – form to accompany notice of grant (conditions to be excluded)
Annex C – form to accompany notice of grant (representations)
Notice of rejection of an application to transfer a premises licence

Reinstatement

Application for the reinstatement of a premises licence under the Gambling Act 2005
Notice of application of the reinstatement of a premises licence (Form A)
Notice of application of the reinstatement of a premises licence (Form B)
Summary of terms and conditions of a premise licence
Premises Licence
Notice of grant of an application for the reinstatement of a premises licence
Annex A – form to accompany notice of grant (conditions to be attached)
Annex B – form to accompany notice of grant (conditions to be excluded)
Annex C – form to accompany notice of grant (representations)
Notice of the rejection of an application for the reinstatement of a premises licence

Temporary Use Notices

Gambling Act 2005 – Temporary Use Notice (for premises other than vessels)
Gambling Act 2005 – Temporary Use Notice (vessel)
Counter Notice (given in response to a temporary use notice)

Permits /lottery

Application Form for Club Gaming Permit or Club Machine Permit
Registration of Small Society Lotteries (Application form for registration of non commercial society)
Club Gaming Permit
Club Machine Permit
Prize Gaming Permit
Family Entertainment Centre Gaming Machine Permit
Licensed Premises Gaming Machine Permit