Temporary Event Notice from Mole Valley District 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.

COVID-19 risk assessment (optional)
During the COVID-19 pandemic in England, if you are looking to organise a gathering then you will need to comply with the latest Coronavirus Regulations. You as the event organisers must prepare the COVID-19 risk assessment as part of planning your event, and then implement and manage it for the duration of your event. You must make your COVOD-19 risk assessment readily available upon request by an authorised officer of the Council. As a significant public safety issue of concern, you should send a copy of your risk assessment and the checklist with any application or notification you make. We may review your risk assessment and give feed-back. The Council will not sign off your event. If you do not send a suitable COVID-19 risk assessment and checklist with your application or any element of the risk assessment or associated controls do not meet current Coronavirus law or guidance, your application and event will likely: 1) attract objections; and / or 2) be referred for review by the Director of Public Health (who may direct the closure, cessation and prevention of activities that may affect public health). This may result in your application being refused and/or the event not being allowed to go ahead. In the event of an increase in the local COVID-19 infection rates, it is possible that events that have already been agreed may be subject to suspension and / or cancellation.

Declaration

The information contained in this form is correct to the best of my knowledge and belief
I understand that it is an offence:
(i) to knowingly or recklessly make a false statement in connection with this temporary event notice and that a person is liable on summary conviction for such an offence to a fine of any amount; and
(ii) to permit an unauthorised licensable activity to be carried on at any place and that a person is liable on summary conviction for any such offence to a fine of any amount, or to imprisonment for a term not exceeding six (6) months, or to both.

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 Mole Valley District Council.