Notification of Temporary or Acting Manager Appointment

*- indicates required field.
Complete this form to appoint an acting manager or temporary manager for your licensed premises. If you are unsure which appointment type is correct please contact the Liquor Licensing Inspector on 07 3760899 to discuss.

Appointee's Details

(Appointee must be aged 20 years or older)
(Appointee must be aged 20 years or older)

Premises Details

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