Application to change a premises licence for massage or other special treatments from London Borough of Lambeth

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

Practitioners' Qualification Certificate(s) (optional)
(for new practitioners or new treatments only)

Recent passport size photographs of practitioners (optional)
(new practitioners only)

Hepatitis B vaccination (optional)
(for tattooing and piercing - for new practitioners only)

Declaration

I give our consent for the details given on this form to be divulged to the police and other outside agencies solely in connection with this application. I declare that the above and attached particulars are complete and true in every respect and that I am over the age of 18 years.
The treatments specified above are the only treatments offered as part of the business. I understand that a condition of licence is that the licensee must notify the Council of any changes of treatments offered during the period of the licence. I will ensure that all Practitioners will wear their named badges whilst carrying out treatments.

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 London Borough of Lambeth.