Application to license a house in multiple occupation from Ceredigion County 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

What if I can't submit all of these documents?

You don't have to submit optional documents, but it may improve your chances of a successful application if you do.

What if I can't submit the documents digitally?

If you can't submit the documents digitally you can send copies by post instead. We'll give you the address and reference number to quote once you've paid the licence fee.

OK, I'll submit all the documents by post instead

Fire safety risk assessment
This will be passed to the Fire Service for approval and used to help us prioritise inspections

Fit and proper person assessment
A statutory declaration must be completed and endorsed by a solicitor and submitted with this form

Property plan

Passport photograph of the Proposed Licence Holder
A passport photograph of the Proposed Licence Holder (hard copy or as a useable Jpeg)

Current gas certificate

Copies of proof identity and address of the Proposed Licence Holder

Copy of standard tenancy agreement

List of other HMO licences held by the Proposed Licence Holder

BS7671 ECA/ NICEIC/ Part P Electrical Installation Condition Report (for the entire domestic installation)

Portable Appliance Tests for equipment supplied to the tenants

Fire extinguisher maintenance certificate

Emergency lighting (BS 5266 Part 1 ) and Fire Alarm and Detection certification BS 5839 Part 6/Part 1(if these are required) (optional)

Planning consents (if applicable) (optional)

Building Regulations Completion Certificates (if applicable) (optional)

Declaration

I/we declare that the information contained in this application is correct to the best of my/our knowledge. I/we understand that I/we commit an offence if I/we supply any information to a local housing authority in connection with any of their functions under any of Parts 1 to 4 of the Housing Act 2004 that is false or misleading and which I/we know is false or misleading or am/are reckless as to whether it is false or misleading.
I/We declare that I/We have served a notice of this application on the persons detailed in Table 1 of this application who are the only persons known to me/us that are required to be informed that I/we have made this application.

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 Ceredigion County Council.