Stroud District Council

Licensing Act 2003 - Application Forms - WORD Format

The application forms on this page are protected and intended for applicants to fill out online. Please then print out, add your signature and post to the Licensing Authority.

Alternatively, for forms that you can print out in order to complete by hand, please go to the application/pdfPDF Application forms page.

Guidelines on how to Fill in the Forms.

These form are designed to be completed on line by using the tab key to move through the data fields. They will become highlighted and will expand to take unlimited lines of text.

Once you have entered the required information you should print off the form and sign it in black ink. Completed forms should be signed, dated and posted to The Licensing Section, Environmental Health Service, Stroud District Council, Council Offices, Ebley Mill, Westward Road, Stroud, Glos. GL5 4UB.

All applications must be accompanied by the relevant fee and you may wish to keep a copy of the completed form for your records.

Applicants may find it advantageous to print off and read the guidance notes at the end of the forms or download the relevant documents from the guidance page before completing the forms.

Application Forms

application/mswordDOC  Application for a New Personal Licence (Word doc) - 20/04/2006 : 166Kb

application/mswordDOC  Application for a New Premises Licence (Word doc) - 20/04/2006 : 665Kb

application/mswordDOC  Consent form for Designated Premises Supervisor (Word doc) - 20/04/2007 : 120Kb

application/mswordDOC  Disclosure of Convictions and Declaration (Word doc) - 20/04/2006 : 135Kb

application/mswordDOC  Notification of an interest in premises under Section 178 (Word doc) - 20/04/2006 : 161Kb

application/mswordDOC  Declaration for a Club Premises Certificate (Word doc) - 20/04/2006 : 175Kb

application/mswordDOC  Application for a New Club Premises Certificate (Word doc) - 20/04/2006 : 557Kb

application/mswordDOC  Consent of premises licence holder to transfer (Word doc) - 20/04/2006 : 119Kb

application/mswordDOC  Interim Authority Notice (word doc) - 20/04/2006 : 205Kb

application/mswordDOC  Photograph Declaration Form for new personal licence applications (word doc) - 20/04/2006 : 122Kb

application/mswordDOC  Application for a Provisional Statement (word doc) - 24/04/2006 : 621Kb

application/mswordDOC  Application to Vary Designated Premises Supervisor (word doc) - 24/04/2006 : 153Kb

application/mswordDOC  ON line Interested Party Representation Form (word doc) - 24/04/2006 : 186Kb

application/mswordDOC  Application to Transfer Premises Licence (word doc) - 24/04/2006 : 196Kb

Applicants will need to copy their application to various other Responsible Authorities. For contact details of all Reponsible Authorities for the Stroud district please download the following document: application/pdfPDF  Licensing Act 2003 - Responsible Authorities - 02/11/2007 : 11Kb

application/pdfPDF  Advert Notice - 25/02/2005 : 45Kb