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Dudley Council the historic capital of the Black Country
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Request to be removed as Designated Premises Supervisor

If you wish to cease being the Designated Premises Supervisor at a premise you can request to have your name removed from the Premises Licence by completing the form below. This is covered under the Licensing Act 2003, Section 17, p41. There is no fee payable for this process.

Please note that if you are not the Premise Licence holder you must also complete page 4 of the form and send it to the Premise Licence holder.

If you need more information please contact the Licensing Office using the Contact Details box below.

Contacting the Licensing Office

Please note that the Licensing office moved in July 2014 and the new address is :-

Law & Governance, Unit 1, Hurst Business Park, Narrowboat Way, Brierley Hill, DY5 1UF

Telephone 01384 814474 or 01384 815377

The office is open from 8.00am to 4.00pm daily. Applicants are seen by appointment only.

Disabled users of our service, please note that if possible could you contact us to make an appointment before visiting our offices, to enable us to meet your needs.