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
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