Licensing Act 2003 - Application Forms and Registers
Use the links on this page to fill in applications for the Licensing Act 2003.
How to apply
- Please read the Guidance Notes before completing your Application Form
- Choose the License you wish to apply for
- Print the form
- Complete the form
- Sign and send with all documentation and payment to the Licensing Team. If paying by cheque please make cheques payable to London Borough of Haringey.
You must duly submit your application by printing and signing the completed form and sending it to us. In some cases, you must also send a copy of your application to the responsible authorities. Please refer to the Licensing Contacts page for further details of the responsible authorities.
- Temporary Event Notice form
- Personal licence applications
- Premises licence applications
- Club premises certificate applications
- Review of a premises licence or club premises certificate
- Online registers
- Contact the Licensing team
Temporary Event Notice form
Fee: £21
| Application name | Download form |
|---|---|
| Temporary Event Notice | Temporary Event Notice Application (PDF 153KB) |
Personal licence applications
Fee: £37
Please note you need to complete two forms, the personal licence application form LA117(a) and the disclosure of convictions form LA117(d).
| Application name | Download forms |
|---|---|
| Personal Licence |
Premises licence application forms
- Premises licence - new application
- Premises licence - variation
- Premises licence - variation of designated premises supervisor
- Premises licence - transfer
- Interim Authority Notice
- Notification of an interest in a Premises
- Provisional Statement
Premises licence - new application
Fee: Please refer to the fees guidance on the licensing guidance page.
Note that you will need the consent of the person you wish to specify as premises supervisor if
- you wish to sell alcohol
- the designated premises supervisor is not the applicant.
| Application name | Download form | Guidance Notes |
|---|---|---|
| Premises licence - new application | Premises Licence - new application form (PDF 267KB) | Premises License Guidance Notes (PDF 484KB) |
| Consent of individual to being specified as designated premises supervisor | Consent of individual to being specified as designated premises supervisor (PDF 46KB) | Designated premises supervisor Guidance (PDF 53KB) |
Premises licence - variation
Fee: Please refer to the fees guidance on the licensing guidance page.
| Application name | Download form | Guidance Notes |
|---|---|---|
| Premises licence - variation | Premises licence - variation Application (PDF 230KB) | Premises Licence Variation Guidance (PDF 120KB) |
Premises licence - variation of designated premises supervisor
Fee: £23
Note that you will need the consent of the person you wish to specify as premises supervisor.
| Application name | Download form | Guidance Notes |
|---|---|---|
| Premises licence - variation to specify individual as designated premises supervisor | Premises licence - variation to specify individual as designated premises supervisor (PDF 64KB) | Not Available |
| Consent of individual to being specified as designated premises supervisor | Consent of individual to being specified as designated premises supervisor Form (PDF 46KB) | Not Available |
Premises licence - transfer
Fee: £23
Note that you will need the consent of the existing premises licence holder.
| Application name | Download form | Guidance Notes |
|---|---|---|
| Premises licence - transfer | Premises licence - transfer Application (PDF 105KB) | Not Available |
| Consent of Premises licence holder to transfer | Consent of Premises licence holder to transfer Form (PDF 26KB) | Not Available |
Interim Authority Notice
Fee: £23
| Application name | Download form |
|---|---|
| Interim Authority Notice | Interim Authority Notice Form (PDF 108KB) |
Notification of an interest in a Premises
Fee: £21
| Application name | Download form |
|---|---|
| Notification of interest in premises | Notification of interest in premises Form (PDF 96KB) |
Provisional Statement
Fee: £315
| Application name | Download form |
|---|---|
| Provisional Statement | Provisional Statement Application Form (PDF 258KB) |
Club premises certificate applications
- Club premises certificate - new application (including club declaration)
- Club premises certificate - variation
Club premises certificate - new application
Fee: Please refer to the fees guidance on the licensing guidance page.
Note that you must complete both the club premises certificate application and the club declaration.
| Application name | Download Form |
|---|---|
| Club Premises certificate - new application | Club Premises certificate - new application (PDF 206KB) |
| Club Premises Declaration form (PDF 72KB) |
Club premises certificate - variation
Fee: Please refer to the fees guidance on the licensing guidance page.
| Application name | Download Form |
|---|---|
| Club Premises certificate - variation | Club Premises certificate - variation Form (PDF 227KB) |
Review of a premises licence or club premises certificate
| Application name | Download Form |
|---|---|
| Review of a premises licence or club premises certificate | Review of a premises licence or club premises certificate (PDF 100KB) |
Contact
Please contact the licensing team if you need any help filling in the form.
Completed forms should be returned to the licensing team and to the responsible authorities as shown on the Licensing Contacts page.
Licensing Team
Frontline Services
Urban Environment
Units 271-272
Lee Valley Technopark
Ashley Road
Tottenham
London N17 9LN
Email licensing@haringey.gov.uk
Tel 020 8489 8232
Fax 020 8489 5528
Pay for it
Apply for it
