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Request to be removed as Designated Premises Supervisor (DPS)

Use this form request to be removed as DPS

Application to be made by the existing Designated Premises Supervisor

This form consists of 3 pages and will take approximately 5 minutes to complete. Fields marked with a * are mandatory and require completion.


Before you start

Please ensure you have:

  • a valid email address to receive a confirmation upon submission of the form
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