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Application Forms for Gambling Act 2005 (Premises)

To make an application for a Premises Licence or Permit under the Gambling Act 2005 please select one of the forms listed below:-

Gambling Act 2005 Premises Licence Application Forms

> Standard Application Form - pdf
> Standard Application Form Transitional - pdf
> Standard Application Form Vessel pdf
> Application Form Vessel Transitional - pdf
> Application for a Standard Provisional Statement - Pdf
> Application for a Provisional Statement Transitional Vessels - pdf
> Notice for a Premises Licence A - pdf
> Notice for a Premises Licence B - pdf
> Notice for a Provisional Statement A - pdf
> Notice for a Provisional Statement B - pdf

For permits please go to Application for Gambling Act 2005 Permits

If the application form you require is not on this list please see link to Gambling Act 2005 application forms which are a link to the Department of Culture, Media and Sport (DCMS) website.

Further information

If you need any further please contact the Licensing Section (Please see Contact Details below)

Contact Details

Telephone01773 841388 - Licension Section telephone number
Telephone01773 570222 - The Council's switchboard is open from 09:00 to 16:30 Monday, Tuesday, Thursday and Friday and from 10:00 to 16:30 Wednesday, excluding Bank Holidays and certain other discretionary holidays.
TelephoneTown Hall, Market Place, Ripley, DE5 3BT - You can visit the Council's main office which is open from 09:00 to 16:30 Monday, Tuesday, Thursday and Friday and from 10:00 to 16:30 Wednesday, excluding Bank Holidays and certain other discretionary holidays. Click on the address for a location map. This is also the main postal address.