Application to renew a licence for 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.

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.

Layout plan (mandatory if there have been any changes since the licence was last granted)
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 if this has changed since the licence was last issued.

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

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)
If there have been any relevant works since the licence was last granted.

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 if there have been any changes since the licence was last issued.

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 the house in respect of which a licence is sought under Part 2/Part 3 of the Housing Act 2004 is subject to a licence under that part at the time this application is made. I/We further declare that to the best of my/our knowledge either: (a) none of the information described in paragraph 2(c) to (g) of that Act and previously submitted to the authority has materially changed since that licence was granted; OR (b) the only material changes to that information are described in the preceding sections of 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).