Request to be removed as designated premises supervisor from South Kesteven District Council

Step 2 of 3 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

Declaration

I will send a copy of this notice to the premise licence holder within 48 hours after giving the notice to the relevant authority and, I will also include a notice directing the holder to send to the relevant licensing authority within 14 days of receiving the notice: (i) The premises licence (or the appropriate part of the licence), or (ii) if that is not practicable, a statement of the reasons for the failure to provide the licence (or part)

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 South Kesteven District Council.