Application to vary a premises licence to specify an individual as designated premises supervisor from West Lancashire Borough 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.

Download the application form (PDF)

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.

There is additional information available for this licence that you might find useful:

Before you apply...

There's a £23.00 fee.

You'll need a debit or credit card.

You'll need to provide copies of the following:

  • Consent form of DPS (optional)
What if I don't have electronic copies?

Photos or scans of documents are acceptable, providing the relevant information is clear.

If you can't provide electronic versions you can still apply online, but you'll need to send in copies by post. We'll give you the address and reference number once you've completed the application.

Now, submit the application

Submit application