Notification of Change of Name or Address of Designated Premises Supervisor

Privacy Statement

The personal information you supply will be used to process and update your Premises Licence . In order for SSDC to do this you will be required to supply certain information – without this information we will not be able to process the update. The law allows us to use your personal information for this purpose as it is necessary for us to perform our statutory duties.

Before progressing please refer to our Privacy Notice which explains in more details how we will use your personal information and how we protect your privacy. It also provides you details of who you can contact if you need to speak to someone about your Privacy.

To: South Somerset District Council, being the Licensing Authority
Of: The Council Offices, Brympton Way, Yeovil, Somerset, BA20 2HT

Full Name(s) *
Address *
The premises licence holder in respect of premises known as (existing name):
Premises Name *
hereby notify you of a change of name and/or address of Designated Premises Supervisor namely (new nme):
New Premises Name: *
New Postal address of premises: *
Telephone number: *
*I will send the appropriate part of the Premises Licence to the address below. *

*Only applicable to a notification by the holder of the Premises Licence as appropriate
The fee for this application is £10.50
Licensing Authority contact details:
Licensing Service
South Somerset District Council
The Council Offices
Brympton Way
BA20 2HT

Telephone: 01935 462462
Note: Where notice is given by the designateed premises supervisor, who is not the premises licence holder, a copy mst be forwarded to the premises licence holder.
A person commits an offence if he fails, without reasonable excuse, to comply with a requirement of section 33 of the Act. A person guilty of an offence under subsection 33(6) of the Act is liable on summary conviction to a fine not exceeding level 2 on the standard scale.