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.

Note: One of the changes introduced by the Triunals Powers and Procedures Legislation Act 2018 is that the forms used for applying to vary, suspend or cancel a licence (Form 21) and a managers certificate (Form 23) are no longer prescribed under the Schedule of the Sale and Supply of Alcohol Regulations 2013(external link).

These forms have been repleaced by new approved forms at the beginning of the below list.

Alcohol licensing form templates

ARLA Application for variation, suspension, or cancellation of licence (for on-licence, off-licence) [DOCX, 16 KB] (previously form 21)

ARLA Application for suspension, or cancellation of managers certificate [DOCX, 16 KB] (previously form 23)

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