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Consent form to vary a designated premsies supervisor

DPS consent form

If you would like us to submit an application to appoint a new Designated Premises Supervisor, please complete the details below and download the DPS Consent Form. The original Consent Form will need to be completed and returned to us, but if you require an urgent change you can email or fax it to us first.

We can normally arrange a DPS variation on the same day, even after hours.

[contact-form subject=’*URGENT* DPS variation request’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/]
[contact-field label=’Licence Holder’ type=’text’ required=’1’/][contact-field label=’Premises Address’ type=’textarea’/][contact-field label=’Premises Licence Number’ type=’text’/][contact-field label=’Tick if you are an existing client’ type=’checkbox’/]
[contact-field label=’Contact telephone number’ type=’text’/]

[/contact-form]

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