Provisional Statement

Application forms 

Here you will find the application form and notices of application that is required to be completed when applying for a Provisional Statement under the Gambling Act 2005.

You are also required to complete a notice of application that should be sent to all relevant Responsible Authorities

Form A is to be used if there is one applicant only.

Form B is to be used if there is more than one applicant. 

Please see Gambling Act 2005 for the current application fees 

For further information please contact the licensing office on 0115 876 1762.