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2024 Annual Liquor Licence Fee Waiver Application

What is this form for?

Apply for a waiver of all or part of your annual liquor licence fee only if you are experiencing financial hardship.

Who can lodge this form?

You  an lodge this form if you are:

  • a licensee
  • an approved manager
  • a contact person
  • an authorised legal representative

What you need:

  • Liquor licence details
  • Applicant personal and contact details
  • Applicant’s email address
  • Supporting documentation that shows evidence of financial hardship. You must include one of the following:
    • signed audited financial statements; or
    • most recent two years profit and loss account and balance sheet or
    • your last two signed business tax returns and  latest Notice of Assessment from the Australian Taxation Office (ATO).
  • A completed and attached authorisation consent letter if you are not listed as a licensee, approved manager or contact person on your liquor licence document.

More information:

Make sure you take your time filling out this application as you won’t be able to make changes once the application is submitted. If information is missing, processing this form will be delayed and the application may be refused.

  • After submitting your application, you will be sent an email confirmation with a copy of your application. This will be sent to the email you provided on the form
  • If you do not receive an email confirmation, your application may not have been submitted. Please contact us to check.

Key dates:

Lodge this form by 22 May 2024. Applications received after this date will not be processed.

Cost:

There is no fee for this application.

Need more information?

Visit: https://www.liquorandgaming.nsw.gov.au/contact-us

Call: 1300 024 720

Liquor licence details:

Red * marked as mandatory field

Applicant details

Authorisation consent letter

You can attach your file here. This can be a PDF, word, JPG or png file. 2MB is the maximum file size.

Grounds for financial hardship

Evidence of financial hardship

You must submit at least one of the following financial documents with this application

13. Please select the type(s) of documents uploaded * Multiple can be selected
You can attach your file/s here. These can be pdf, word, excel, jpeg or png files. 2MB is the maximum file size. You can attach up to 10 files.
15. Does the premises hold gaming machines? *

Declaration

  • I declare the contents of this application, including attachments, are true, correct and complete and I have made all reasonable enquiries to obtain the information required to complete the application.
  • I will immediately notify Liquor & Gaming NSW (L&GNSW) if the information changes before the application is determined.
  • I acknowledge that it is an offence to provide false, misleading or incomplete information in this application under section 36 of the Gaming and Liquor Administration Act 2007 and section 307A of the Crimes Act 1900.
  • I acknowledge that failure to provide all required information may result in delay or refusal of this application.
  • I understand that specific details I have supplied in this application may be 'personal information' under the Privacy and Personal Information Protection Act 1998. Personal information is any information or opinion that identifies an individual, or enables someone to identify an individual.
  • I acknowledge that L&GNSW is collecting information to enable processing of the application. I also understand that L&GNSW will use the information for its intended purpose only, store the information securely, and allow the applicant or licensee to access and update the information. When processing this submission, L&GNSW may need to disclose information to other Government agencies.
  • I understand that L&GNSW may use information provided in the application to inform further inquiries to ensure compliance with regulatory obligations.
Please confirm the following: *

Details of the person making the above declaration

You cannot edit this application once you submit.

A copy of your responses will be emailed to the address you provided.