Vary a designated premises supervisor (DPS)
If you wish to nominate or become a new DPS on a premises licence, you must submit an application and consent form.
Please read our Vary DPS guidance before applying as it contains important information on the application process.
To apply online, please download and complete our Vary Designated Premises Supervisor application form and return via email to firstname.lastname@example.org. After submission of your completed form, we'll contact you to confirm receipt and arrange payment with you directly.
If you submit it online we will forward it to the Police. The Consent of an individual to being specified as Premises Supervisor form must be completed separately by the existing DPS and emailed to us at email@example.com.
Apply by post
If you are submitting it hard copy you will have to post your application to:
- Licensing, Mid Devon District Council, Phoenix House, Phoenix Lane, Tiverton EX16 6PP
- Devon & Cornwall Constabulary, Licensing Section, Devon & Cornwall Police HQ, Middlemoor, Exeter EX2 7HQ
You must also complete the Consent of an individual to being specified as Premises Supervisor and return the form to the licensing Team.
The application to vary a premises licence to specify an individual as designated premises supervisor under the Licensing Act 2003 asks the licensee to give a copy of the form to the existing premises supervisor. The completed form contains personal information about the proposed new DPS and sharing this information would be in breach of the Data Protection Act 1998. It is sufficient for the licensee to inform the DPS that the application has been made, without the need to share the specific details of the application. A full copy of the application form must still be sent to police. The form will be amended via regulations as soon as possible to make this clear.