TEN Form

  • Before you start...
    You should keep a copy of the completed notice for your records. The licensing authority will give to you written acknowledgement of the receipt of the notice. Please ensure you have read and understood the guidance given on our webpage.
  • I, the proposed premises user, hereby give notice under section 100 of the Licensing Act 2003 of my proposal to carry on a temporary activity at the premises described below.
  • Premises User Name
  • Previous Name (If Any)
  • I am over the age of 18.
  • Applicant's Home Address
  • I Hold a Personal Alcohol Licence
  • Alternative Correspondance Address
    This section applies if you are applying on behalf of an individual or the correspondance address is different
  • Name
  • Alternative Correspondance Address
  • Premises Details
    This section is about the location of the premises.
  • Does a premises licence or club premises certificate have effect in relation to the premises (or any part of the premises)? If so, please enter the licence or certificate number below.
  • Premises Address
  • About the Event
    In this section you are required to provide details of the event, including the date and time.
  • Start Time
  • End Time
  • Licensable Activities (Please state the licensable activities that you intend to carry on at the premises (please tick all licensable activities you intend to carry out).)
  • Are you giving a late temporary event notice?
  • Have you previously given a temporary event notice in respect of any premises for events falling in the same calendar year as the event for which you are now giving this temporary event notice?
  • Have you already given a temporary event notice for the same premises in which the event period: a) ends 24 hours or less before; or b) begins 24 hours or less after the event period proposed in this notice?
  • Has any associate of yours given a temporary event notice for an event in the same calendar year as the event for which you are now giving a temporary event notice?
  • Has any associate of yours already given a temporary event notice for the same premises in which the event period: a) ends 24 hours or less before; or b) begins 24 hours or less after the event period proposed in this notice?
  • Has any person with whom you are in business carrying on licensable activities given a temporary event notice for an event in the same calendar year as the event for which you are now giving a temporary event notice?
  • Has any person with whom you are in business carrying on licensable activities already given a temporary event notice for the same premises in which the event period: a) ends 24 hours or less before; or b) begins 24 hours or less after the event period proposed in this notice?
  • Decleration
  • It is a condition of this temporary event notice that where the relevant licensable activities described in Section 3 above include the sale or supply of alcohol that all such supplies are made by or under the authority of the premises user.
  • The information contained in this form is correct to the best of my knowledge and belief. I understand that it is an offence: (i) to knowingly or recklessly make a false statement in or in connection with this temporary event notice and that a person is liable on summary conviction for such an offence to a fine of any amount; and (ii) to permit an unauthorised licensable activity to be carried on at any place and that a person is liable on summary conviction for any such offence to a fine of any amount, or to imprisonment for a term not exceeding six months, or to both.
  • Optional supporting documents
    It is useful when serving your application for a Event Management plant to be provided. This is generally asked for By Responsible Authorities.