Form

Provisional statement application

Updated 1 October 2012, this is an application for a provisional statement to be granted under the Licensing Act 2003.

Applies to England and Wales

Documents

Provisional statement application

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email [email protected]. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

Remember to check through the notes at the end of the form before completing the form.

We are aware this publication may have accessibility issues. We are reviewing it so that we can fix these. Read more about our accessible documents policy

Updates to this page

Published 1 October 2012

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