Vary a Designated Premises Supervisor (DPS)

This form should be used to notify us of a change to the Designated Premises Supervisor.

Fee: £23

Please note: The application form must be accompanied by a signed consent to the individual being specified as a designated premises supervisor.

This will apply to paper and online applications. The consent form can be downloaded and printed from our website.

Apply online to vary a Designated Premises Supervisor (DPS)

DPS Consent form

This form must be submitted to the Licensing Team.

Consent of individual to being specified as a Designated Premises Supervisor (DPS) online form

Paper applications

Print out and complete the forms below. Cheques are payable to ‘Mid Sussex District Council’.

• Application to vary a Designated Premises Supervisor (DPS) printed form
• Consent of individual to being specified as a Designated Premises Supervisor (DPS) printed form

The forms must be sent to the Council's Licensing Team if you are not submitting the form electronically.

You must also send a copy to Sussex Police:

Chief Officer of Police
Licensing Officer
Worthing Durrington Police Station
Centenary House
Durrington Lane
Worthing
BN13 2PQ

Licensing
Tel: 01444-477419
Email: licensing@midsussex.gov.uk