Forms and checklists

Forms and checklists for liquor licensees.

Forms

Acknowledgement and Consent Form (online lodgement)Acknowledgement and Consent Form (online lodgement) (docx) (16 KB)
Crowd controller notice of authorisation formCrowd controller notice of authorisation form (pdf) (74 KB)
Extended Trading Permit Alfresco Area COVID-19Extended Trading Permit Alfresco Area COVID-19 (docx) (98 KB)
Form 1 Notice of application for approval of a non-liquor business on licensed premisesForm 1 Notice of application for approval of a non-liquor business on licensed premises (docx) (114 KB)
Form 10 Notice of application for approval of transfer of licenceForm 10 Notice of application for approval of transfer of licence (docx) (125 KB)
Form 10a Notice of application for approval of a change of trusteeForm 10a Notice of application for approval of a change of trustee (docx) (90 KB)
Form 11 Notice of application to add, vary or cancel condition of licence or permitForm 11 Notice of application to add, vary or cancel condition of licence or permit (docx) (123 KB)
Form 11b Add, vary or cancel condition of licence or permit (club restricted to club)Form 11b Add, vary or cancel condition of licence or permit (club restricted to club) (docx) (104 KB)
Form 11c Add, vary or cancel conditions of a licence or permit (hotel to hotel restricted or tavern)Form 11c Add, vary or cancel conditions of a licence or permit (hotel to hotel restricted or tavern) (docx) (105 KB)
Form 13 Notice of application for protection orderForm 13 Notice of application for protection order (docx) (112 KB)
Form 15 Application for a new Director or ShareholderForm 15 Application for a new Director or Shareholder (docx) (109 KB)
Form 16 Notice of application for approval of arrangement or agreementForm 16 Notice of application for approval of arrangement or agreement (docx) (108 KB)
Form 17 Notice of ObjectionForm 17 Notice of Objection (pdf) (546 KB)
Form 17 Notice of ObjectionForm 17 Notice of Objection (docx) (110 KB)
Form 18 Application for approval of a juvenile functionForm 18 Application for approval of a juvenile function (docx) (107 KB)
Form 19 Application for a liquor restricted premises declarationForm 19 Application for a liquor restricted premises declaration (docx) (154 KB)
Form 23 Notice of application for approval of change of cellar door operation trading nameForm 23 Notice of application for approval of change of cellar door operation trading name (docx) (99 KB)
Form 2A Public Interest AssessmentForm 2A Public Interest Assessment (pdf) (795 KB)
Form 2A Public Interest AssessmentForm 2A Public Interest Assessment (docx) (166 KB)
Form 4 Notice of application for licence - conversion or replacement of special facilityForm 4 Notice of application for licence - conversion or replacement of special facility (docx) (112 KB)
Form 8 Notice of application for approval of alteration or redefinitionForm 8 Notice of application for approval of alteration or redefinition (docx) (104 KB)
Form 9 Notice of application for approval of removal of licenceForm 9 Notice of application for approval of removal of licence (docx) (108 KB)
Form LLD 18 Submissions in support or opposition of an applicationForm LLD 18 Submissions in support or opposition of an application (docx) (105 KB)
Form LLD10 Notice of ownership of licensed premisesForm LLD10 Notice of ownership of licensed premises (pdf) (553 KB)
Form LLD14 Section 39 certificate of local governmentForm LLD14 Section 39 certificate of local government (docx) (54 KB)
Form LLD15 Section 40 certificate of local planning authorityForm LLD15 Section 40 certificate of local planning authority (docx) (34 KB)
Form LLD16 Notice of application for approval of change of approved premises nameForm LLD16 Notice of application for approval of change of approved premises name (docx) (106 KB)
Form LLD5 Personal particularsForm LLD5 Personal particulars (docx) (118 KB)
Form LLD5A Personal particularsForm LLD5A Personal particulars (docx) (19 KB)
Form LLD9 Complaint about noise or disturbanceForm LLD9 Complaint about noise or disturbance (pdf) (455 KB)
Incident reportIncident report (pdf) (64 KB)
Mandatory training registerMandatory training register (pdf) (26 KB)
Notice of intention to allow consumption of liquor at a live entertainment venueNotice of intention to allow consumption of liquor at a live entertainment venue (pdf) (201 KB)
Notice of Intention to Surrender Licence LLD8Notice of Intention to Surrender Licence LLD8 (pdf) (229 KB)
Occasional State of Emergency Direction ApplicationOccasional State of Emergency Direction Application (docx) (105 KB)
Producers Licence questionnaireProducers Licence questionnaire (pdf) (1083 KB)
Request for search of licensed premisesRequest for search of licensed premises (pdf) (304 KB)

Checklists

Liquor return templates

Responsible Service of Alcohol posters

The Mental Health Commission produce a range of Responsible Service of Alcohol posters for licensees.

Licensees resources on the Alcohol Think Again website

Page reviewed 24 May 2021

Forms and checklists

Forms

Checklists

Liquor return templates

Responsible Service of Alcohol posters

Acknowledgement of Country

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