Application to license a house in multiple occupation from Derby City Council
Step 1 of 4 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)
- Photo identification and proof of residential address
- Fire Safety Risk Assessment (FSRA)
- Fire Alarm Certificate (optional)
- Emergency Lighting (optional)
- Portable Appliance Testing (optional)
What if I don't have electronic copies?
Photos or scans of documents are acceptable, providing the relevant information is clear.
If you're unable to provide electronic versions of these documents then you cannot make an online application and you should do so by post.