Templates for alcohol licensing forms

Use these templates to create a new alcohol licensing form for a local council. 

The main change to most forms is updating the name of the Act. However, forms for new licences and renewal applications must also include new criteria and questions that outline key information applicants need to provide (for example, a floor plan of the premises).

If you're applying for a licence or manager's certificate, you shouldn't use these templates. Instead, please contact your local council to obtain the correct form.

Alcohol licensing form templates

Form 1 - Infringement notice [DOCX, 18 KB]

Form 2 - Infringement offence reminder [DOCX, 18 KB]

Form 3 - On-licence application [DOCX, 20 KB]

Form 4 - Off-licence application [DOCX, 19 KB]

Form 5 - Club licence application [DOCX, 18 KB]

Form 6 - Special licence application [DOCX, 19 KB]

Form 7 - Public notice on off and club licence [DOCX, 14 KB]

Form 8 - Public notice special licence [DOCX, 13 KB]

Form 9 - On-licence (premises that are not a conveyance) [DOCX, 15 KB]

Form 10 - Off-licence [DOCX, 16 KB]

Form 11 - Club licence [DOCX, 14 KB]

Form 12 - Special licence (premises that are not a conveyance) [DOCX, 15 KB]

Form 13 - Special licence (Conveyance) [DOCX, 15 KB]

Form 14 - Application for variation or cancellation of conditions [DOCX, 14 KB]

Form 15 - Notice of renewal of licence [DOCX, 13 KB]

Form 16 - Application for temporary authority [DOCX, 14 KB]

Form 17 - Application for manager's certificate [DOCX, 14 KB]

Form 18 - Manager's certificate [DOCX, 13 KB]

Form 19 - Application for renewal of manager's certificate [DOCX, 14 KB]

Form 20 - Notice of renewal of manager's certificate [DOCX, 13 KB]

Form 21 - Application for variation, suspension, or cancellation of licence (for on-licence, off-licence) [DOCX, 15 KB]

Form 22 - Application for variation, suspension, or cancellation of special licence [DOCX, 15 KB]

Form 23 - Application for variation, suspension, or cancellation of manager's certificate [DOCX, 14 KB]

Form 24 - Search warrant [DOCX, 18 KB]

Form 25 - Request to constitute licensing trust [DOCX, 13 KB]

Form 26 - Notice requesting poll of electors on completion proposal [DOCX, 12 KB]

Form 27 - Notice requesting poll of electors on amalgamation proposal (relating to licensing trusts) [DOCX, 12 KB]

Form 28 - Notice requesting poll of electors on conversion proposal [DOCX, 13 KB]

Form 29 - Notice requesting poll of electors on amalgamation proposal relating to community trusts [DOCX, 13 KB]

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