Application to license a house in multiple occupation from Chorley Council

Step 2 of 4 Submit the application

Email address

Please provide your email address, so the licensing authority can let you know if your application has been successful or not.

Email address Confirm email address

Application form

Please attach the completed application form below.

Application form

Supporting documents

All documents are required, unless stated otherwise. Photos of documents are acceptable, as long as all the relevant information is clear. We'll only share these documents with the licensing authority.

Maximum size allowed per file is 10 MB.

We only allow the following file types : doc, docx, gif, jpeg, jpg, pdf, png, ppt, pptx, rtf, txt, xls, xlsx

Layout Plan
layout plan of the entire building covereing all floors.

Fire Plan
plan of building indicating the location of fire doors, call points and appropriate detection points

Disclosure Forms/Information
a) Criminal Disclosure Certificate; b) Fire Alarm Test Certificate; c) Periodic Electrical Safety test Certificate; d) Gas Safety Certificate;

Disclosure/Information Forms
a) Building Regulations Certificate (if applicable); b) Evidence of Planning Consent (if applicable);

Disclosure/Information Forms
a) Portable Appliance Test Certificate(if applicable);

Declaration

I declare that the information provided is true to the best of my knowledge and belief and; a) understand that if any false information is provided I may be guilty of an offence and liable to prosecution; b) understand that if the application is authorised I must inform the authority about any changes to circumstances that mean I no longer meet the conditions for the authorisation.

Ticking this box indicates you have read and understood the above declaration

By continuing, you're giving the Cabinet Office permission to pass the information you're supplying to the relevant authority.

For more details on how your information is used please refer to the Government Digital Service privacy notice (opens in new tab) and the Chorley Council privacy notice (opens in new tab).