How to apply for a special licence

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How to apply for a special licence UNDER SECTION 138 OF THE SALE AND SUPPLY OF ALCOHOL ACT 2012 Follow the instructions below to apply for a special licence to sell and supply alcohol for consumption at an event (or series of events). This information sheet must be included with your application. WHAT YOU NEED TO DO To apply for a special licence, you need to: supply the documents listed in the What to include section on this page calculate and pay an application fee answer all the questions in the form that apply to you WHEN TO APPLY You must submit your application 20 working days before the event, not counting the day you submit your application or the day of the event. If we receive your application later than this, the District Licensing Committee may decline it. WHAT TO INCLUDE (PLEASE TICK) You must supply all the documents listed below. We may send your application back if any of these documents are missing. This completed application form A copy of the floor plans of the premises or conveyance that highlights the main entrance and any restricted or supervised areas A copy of the site layout or area, including any marquees (if the event is outside) Copy of promotional material, advertising, tickets or posters Owner s Letter of Permission if applicant does not own premises (where the premises or land is City Council, the Committee will obtain this letter on your behalf) owned by Tauranga You must also supply any of the documents below that apply to your application. If you are applying for an event with more than 400 people: A copy of your alcohol management plan CALCULATING YOUR FEE You must pay the correct fee to receive your licence and avoid paying extra charges. To calculate your fee, follow the instructions on the following page or use the fee calculator at tauranga.govt.nz/services/alcohol to assist you in the process. If you are applying for one event, complete section 1. If you are applying for a series of events, complete section 2. Check the event definitions on the following page first. 01 www.tauranga.govt.nz

Event definitions One event for a special licence is: an occasion or a gathering which takes place without a break, or a series of occasions or gatherings which take place on consecutive days and are the same in appearance, form, and substance on all of the days (e.g. a sports tournament or a food and wine show). A series of events for a special licence is more than one event with the same special licence class. The number of people expected to attend each event determines the class. If you are applying for a series of events with different classes, you need to apply for each event in a separate application form. SECTION 1: ONE EVENT Use the number of people expected to be at the event to find and tick your special licence class. Number of people expected at the event Event size Special license class More than 400 people 1 large Class 1 Between 100 and 400 people 1 medium Class 2 Fewer than 100 people 1 small Class 3 Go to Section 3: Your fee SECTION 2: A SERIES OF EVENTS Complete this section if you are applying for a series of different events with the same class you can group them in this application. Step 1: Enter the number of events at each event size. Number of people expected at the event Event size Number of events More than 400 people Between 100 and 400 people Fewer than 100 people Large Medium Small Step 2: Using the number of events you calculated at step 1, select the special licence class that applies to your series of events. Your event(s) Special licence class Number of events 1 large event; or More than 2 medium events; or Class 1 More than 12 small events 3 to 12 small events; or 1 to 3 medium events Class 2 Go to Section 3: Your fee 1 or 2 small events Class 3 02 www.tauranga.govt.nz

SECTION 3: YOUR FEE Tick the box that matches the special licence class you have calculated. You must pay this fee to apply for a special licence. Please ensure you have accurately assessed your fee. Your application must be accompanied by a fee. This is not refundable or transferable. If you need help completing this form, contact the alcohol licensing team on 07 577 7000 for advice or visit tauranga.govt.nz/services/alcohol for more information. Special license class Fee (including GST) Class 1 $575.00 Class 2 $207.00 Class 3 $63.25 PAYMENTS MAY BE MADE: Electronically to: ANZ Tauranga Account Number: 06 0433 0213474 00 Reference: Alcohol Special Code: Applicant Name In Person: At Tauranga City Council, 91 Willow Street, Tauranga Or posted to: Tauranga City Council, Private Bag 12022, Tauranga 3143 All fees are payable at the time of submitting your application. (for office use) Application... LIQL Premises... Date received (date stamp) Receipt... Contact ID... 03 www.tauranga.govt.nz

Special licence application form SECTION 138 OF THE SALE AND SUPPLY OF ALCOHOL ACT 2012 To the Secretary District Licensing Committee Tauranga Application for a special licence is made in accordance with the details set out below: LICENCE DETAILS What type of special licence are you applying for? On-site the licensee can sell or supply alcohol for consumption on-site to people attending the event Off-site- the licensee can sell alcohol for consumption elsewhere to people attending the event If applied for less than 20 working days before the event and the need for a special licence could not have been foreseen earlier please describe the circumstances e.g. funeral, cancelled venue etc. DETAILS OF THE APPLICANT Full legal name on licence: Address: Postal address for service of documents: Email address: Occupation (if individual): Gender: Male Female Date of birth (if individual): Place of birth (if individual): Daytime contact Name: Phone number: Mobile number: Preferred method of contact: 01 www.tauranga.govt.nz

STATUS OF APPLICANT(S) (TICK APPROPRIATE BOX) Natural Person Private Company Partnership Charity Club Community Trust Local Authority Trustee Public Company Licensing Trust Body corporate to which section 28 (1) (b) of the Act applies Manager under the Protection of Personal & Property Rights Act 1988 Government department or other instrument of the Crown Board, organisation or other body to which Section 28 (1) (c) of the Act applies Charitable Trust Has the applicant been convicted of any offence? Yes (supply details below) MANAGER S DETAILS / RESPONSIBLE PERSON Full legal name Residential address Date of birth Manager s certificate number (if required) Manager s certificate expiry date (if required) If the person is not a certificated manager but to be the responsible person for the event, please explain why you believe this person to be suitable. DETAILS OF PREMISES/LOCATION OF THE EVENT Name of the premises: 02 www.tauranga.govt.nz

Address of the premises/event: Is there a licence already held for the premises concerned? Yes Alcohol licence number of the licensed premises: 021/ Does the applicant own the premises /building? Yes If no, what is the full name and address of the owner? (Have you attached landowner s approval letter as per the checklist?) What form and term of tenure / occupancy of the premises will you have (e.g. lease, unit title)? What parts (if any) of the licensed premises do you intend to designate as restricted or supervised areas? A restricted area ( person under 18 years of age may be present on the premises): Supervised area(s) where minors must be accompanied by a legal guardian: The licensed area to remain undesignated (please give a small explanation why you would prefer the licensed area to have no imposed condition restricting who may attend your special event) DETAILS OF CONVEYANCE (Complete only where the licence applies to a Conveyance i.e. bus, train, boat) Type of conveyance (If the conveyance is a bus, also add how many seats it has): Registration number (if any): Any name used for conveyance: Address of home base: Is there a licence already held for the conveyance concerned? Yes Alcohol licence number of the licensed conveyance: 021/ 03 www.tauranga.govt.nz

EVENT DETAILS Complete the table on the following page recording details of the event/occasion, or series of events/occasions, for which the licence is sought: Ensure full description of event(s) are completed, including names where the event is a birthday/wedding, the name(s) of the person who the event is catering for, number of people attending and the number of events. Full legal name and address of who has booked event Description of the nature and principal purpose of the event Day Date Hours during which alcohol will be sold, consumed or supplied Approx. number of people attending Age range of people attending Open to the Public? Yes or By invitation only? Yes or By ticket sales? Yes or no Jane Louise Smith 1 Tawa Street Mount Maunganui E.g. Wedding celebration for Jane Smith and Joe Bloggs Saturday 1/1/2014 1300-0100 99 25-85 Yes 04 www.tauranga.govt.nz

Is the applicant intending to engage in the sale and supply of any goods other than alcohol and food, or in the provision of any services other than those directly related to the sale or supply of alcohol and food? If Yes, what is the nature of those other goods or services: Yes CONDITIONS STEPS YOU WILL TAKE TO MINIMISE HARM FROM ALCOHOL The Sale and Supply of Alcohol Act 2012 aims to minimise harm from alcohol by managing the way it s sold, supplied and consumed. Please answer each question thoroughly. Food please detail the food that will be available at the event (attach a menu if necessary) n-alcoholic refreshments What type of low-alcohol beverages (less than 2.5% alcohol) will be available? (Please give brand names) Where and how will you make drinking water freely available to patrons? What steps, if any, will you take to ensure your event will not create a nuisance to nearby residents? What steps do you propose to take to provide assistance with or information about alternative forms of transport from the licensed premises or conveyance? (e.g. taxi information, courtesy coach) 05 www.tauranga.govt.nz

What systems (including training) and staff are in place for the compliance under the Act? What other steps do you propose to take aimed at promoting the responsible consumption of alcohol? What steps do you propose to take to ensure that the requirements of the Act in relation to the sale of alcohol to prohibited persons are observed? Which type of alcohol beverages will be available for sale at your event (tick as many as appropriate)? Beer Wine Cider How many alcoholic drinks can be purchased at one time? What containers will the alcohol be sold or consumed in? Spirits RTDs Explain in as much detail as possible what type of entertainment is to be provided, what activities will be taking place during the evenings and timings of when entertainment/events will occur? (i.e. doors open at 6.30pm, dinner at 7 pm, speeches at 8 pm, etc) Will you be employing security at your event? Yes If so, how many? Name of Security Company employed: Company contact name: Contact number: SIGNATURE OF APPLICANT Applicant s signature: Date: Pursuant to the Privacy Act 1993 the following is brought to your attention: The personal information contained in this form is being collected to assist Council and other agencies in processing your application and may be made available to the public as part of the process. You do have the right of access to, and correction of, this information subject to the provisions of the Privacy Act 1993 06 www.tauranga.govt.nz