Application to license a house in multiple occupation from West Lancashire Borough 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

Gas Safety Inspection Report and Certificate
A current gas safety certificate (less than 12 months old) completed by a Gas Safe Registered engineer including all parts of the gas installation and all gas appliances.

Electrical Safety Report and Certificate (Fixed Installation)
The report must be less than 5 years old and have been completed by a competent electrician.

Layout plan
The plan does not need to be to scale, but should clearly show all room uses and dimensions. The plan should also indicate smoke/heat detectors, fire panel, fire alarm sounders, fire call points, fire doors, fire extinguishers/blankets and any emergency lighting.

Copy of the Tenancy Agreement
A sample copy of the tenancy agreement.

Electrical Safety Report and Certificate (PAT) (optional)
An electrical safety report in relation to Portable Appliance Testing (PAT) issued in the last year by a competent person.

Building Regulations Completion Certificate (optional)
As appropriate.

Inspection certificate for fire detection/alarm systems and other fire safety measures (mandatory where installed) (optional)
Including emergency lighting, fire detection systems, fire alarm systems and fire fighting equipment as appropriate.

DBS Certificate(s) (optional)
For the Licence Holder, Manager or any other related party as appropriate.

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 the West Lancashire Borough Council privacy notice (opens in new tab).