Variation to Change Designated Premises Supervisor

    Please upload your completed application form.

    Other documents to be uploaded

    • Premises licence or relevant part of the licence
    • Any other relevant documentation

    Online Payment

    This service requires an online payment; you will be taken to the secure payment facility upon submission of this form.
    • You need a valid debit or credit card
    • Your application will not be processed until payment has been received

    Privacy & Disclaimer Statements

    The information that you provide today will be processed in accordance with Data Protection legal requirements.

    To find out more about how we process your personal information please read the Premises Licence and Club Premises Certificate Privacy Notice.

    Further information can also be found within Dudley Council's Corporate Privacy & Disclaimer Statement.

     

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