Application for a Lottery Licence Renewal

Please use this form to apply for a lottery application renewal. You will need to arrange payment in addition to filling this form in. Details of payment methods can be found at the bottom of this form.

If you are unable to use this form, please see our Contact Us (this link opens in a new window) for ways of getting in touch

Please note, if you are trying to renew a licence that has already expired, you will need to fill in a Application for a new Lottery Licence

 

Red asterisk denotes a required answer.

As part of this application, a  £20 fee will need to be paid. This can be done by coming into one of our offices and making payment or by calling us on 01992 531503. Until payment has been taken, a licence will not be issued

EAST HERTS DISTRICT COUNCIL

Gambling Act 2005 - APPLICATION FOR REGISTRATION

Name
Your Address

Society Details

Society Address

Address of the society, club, institution, organisation or association of persons on whose behalf this application is made

Declaration

I make this application on behalf of the society and have authority to act on behalf of that society

I confirm that, to the best of my knowledge, the information contained in this application is true. I understand that it is an offence under section 342 of the Gambling Act 2005 to give information which is false or misleading in, or in relation to, this application.

For the purposes of current data protection laws the information you supply the Council as part of your application will be used for the purposes of dealing with your request and retained as per our published corporate data protection privacy policy which can be found on the East Herts District Council Data Protection page (this link opens in a new window).

From time to time this information may be shared with other Council departments and / or outside partners to process your request as effectively as possible. Please confirm you have read the above privacy notice