Form

Provisional statement application form

Application for a provisional statement under section 29 of the Licensing Act 2003 for a premises.

From:
Home Office
Published
1 October 2012

Applies to England and Wales

Documents

Provisional statement application

MS Word Document, 492 KB

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Details

Application for a provisional statement under section 29 of the Licensing Act 2003 for a premises. Apply to the relevant licensing authority in accordance with section 12 of the Licensing Act 2003.

This form was updated on 1 October 2012.

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Published 1 October 2012