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.
Contact Us
Licensing Team
Lister Road
Dudley
DY2 8JW
Telephone: 01384 815101
Opening hours: 8am to 4pm daily
Applicants are seen by appointment only.
