Application to vary a premises licence to specify an individual as designated premises supervisor

Use this form to apply to vary a premises licence to specify an individual as the designated premises supervisor (DPS) under Licensing Act 2003 Section 37.

You must complete all relevant sections of the application form, failure to do so may result in your application being delayed or withdrawn.

This form consists of 4 pages and will take approximately 10 minutes to complete. Fields marked with an * are mandatory and require completion.

 

Before you start

Please ensure you have:

  • the existing premises licence reference number
  • a completed designated premises supervisor consent form which must be signed by the new nominated DPS
  • the fee of £23
  • a valid email address to receive confirmation of payment
  • your debit or credit card details, as after completing this form you will be taken to the payment portal
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    Guidance notes

    The designated premises supervisor consent form can be downloaded below

    Designated premises supervisor consent form (doc 38kb, opens in new window)

    Please note: this must be signed by the nominated DPS.

    More information on applying for a personal licence can be found on the personal licences page.

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