Application to license a house in multiple occupation from Derby City Council
Complete the application form
First, download the form
Right-click the link below and select the 'Save' option
Please note this file will not open properly in your web browser, Adobe Reader (opens in new tab) is required to view it.
Next, fill in the application form on your computer
To edit the form you'll need a recent version of Adobe Reader (opens in new tab).
Open the form using Adobe Reader instead of your web browser.
If you can't complete the form right now don't worry, you can edit it in your own time. Once you're ready, return to this page to complete the application.
Before you apply...
There's a fee you'll need to pay for this submission.
You'll need a debit or credit card.
You'll need to provide copies of the following:
- Property Plan
- Landlords Gas Safety Certificate
- Electrical Installation Condition Report (EICR)
- Evidence of Permanent Residential Address of Proposed Licence Holder
- Fire Alarm Certificate (optional)
- Emergency Lighting (optional)
- Portable Appliance Testing (optional)
- Fire Safety Risk Assessment (FSRA) (optional)
What if I don't have electronic copies?
Photos or scans of documents are acceptable, providing the relevant information is clear.
If you can't provide electronic versions you can still apply online, but you'll need to send in copies by post. We'll give you the address and reference number once you've completed the application.