Request to be removed as designated premises supervisor from Blackpool Borough Council

Step 2 of 3 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

Declaration

I wish to confirm that I resign as Designated Premises Supervisor at the premises.
I confirm that I have written to the licence holder telling them that I have resigned and that they must return the premises licence and summary to the Licensing Service within 14 days. I understand that the resignation will not take effect until the licence holder has been notified.

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

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