Forms and checklists

Forms and checklists for liquor licensees.

Forms

Acknowledgement and Consent Form (online lodgement)Acknowledgement and Consent Form (online lodgement) (docx) (70 KB)
Crowd controller notice of authorisation formCrowd controller notice of authorisation form (pdf) (93 KB)
Example incident registerExample incident register (docx) (36 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) (89 KB)
Form 10 Notice of application for approval of transfer of licenceForm 10 Notice of application for approval of transfer of licence (docx) (107 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) (75 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) (95 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) (86 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) (86 KB)
Form 13 Notice of application for protection orderForm 13 Notice of application for protection order (docx) (94 KB)
Form 15 Application for a new Director or ShareholderForm 15 Application for a new Director or Shareholder (docx) (88 KB)
Form 16 Notice of application for approval of arrangement or agreementForm 16 Notice of application for approval of arrangement or agreement (docx) (89 KB)
Form 17 Notice of ObjectionForm 17 Notice of Objection (pdf) (204 KB)
Form 17 Notice of ObjectionForm 17 Notice of Objection (docx) (75 KB)
Form 18 Application for approval of a juvenile functionForm 18 Application for approval of a juvenile function (docx) (101 KB)
Form 19 Application for a liquor restricted premises declarationForm 19 Application for a liquor restricted premises declaration (docx) (175 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) (81 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) (90 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) (91 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) (254 KB)
Form LLD14 Section 39 certificate of local governmentForm LLD14 Section 39 certificate of local government (docx) (83 KB)
Form LLD15 Section 40 certificate of local planning authorityForm LLD15 Section 40 certificate of local planning authority (docx) (70 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) (83 KB)
Form LLD5 Personal particularsForm LLD5 Personal particulars (docx) (110 KB)
Form LLD5A Declaration of particularsForm LLD5A Declaration of particulars (docx) (66 KB)
Form LLD9 Complaint about noise or disturbanceForm LLD9 Complaint about noise or disturbance (pdf) (110 KB)
LLD18 Submissions in support or opposition of an applicationLLD18 Submissions in support or opposition of an application (docx) (79 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) (134 KB)
Notice of Intention to Surrender Licence LLD8Notice of Intention to Surrender Licence LLD8 (docx) (97 KB)
Occasional State of Emergency Direction ApplicationOccasional State of Emergency Direction Application (docx) (105 KB)
Producers Licence questionnaireProducers Licence questionnaire (pdf) (187 KB)
Request for search of licensed premisesRequest for search of licensed premises (docx) (91 KB)

Checklists

Liquor return templates

Liquor returns templateLiquor returns template (xlsx) (278 KB)

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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