Alcohol Application Forms

This page contains Horowhenua District Council's application forms for Alcohol Licensing.

Off Licence - New & Renewal

New Off Licence

Application Form for Off Licence (Print version)(PDF, 185KB)

Note: If you're applying for a new Off Licence for a bottle store or grocery store (excluding supermarkets), you'll need to provide a statement of projected gross annual sales revenue using the relevant template below. This will need to be completed and signed by a registered Chartered Accountant. 

The statement period must be for the 12 months after the time at which the application for the issue of an Off Licence for the premises is made. 

Statement of Projected Annual Sales Revenue: Bottle Store - New Business Declaration(PDF, 401KB)
Statement of Projected Annual Sales Revenue: Grocery Store - New Business Declaration(PDF, 434KB)

Renewal of Off Licence

Application Form for Renewal of Off Licence Only (Print version)(PDF, 575KB)

Note: If you're applying for the renewal of an Off Licence for a bottle store or grocery store (excluding supermarkets), you'll need to provide a statement of gross annual sales revenue using the relevant template below. This will need to be completed and signed by a registered Chartered Accountant. 

The 12-month statement period must be for the 12 months before the time at which the application for the renewal of an Off Licence for the premises is made and must not end any later than 90 days before the date of the application. 

Statement of Gross Annual Sales Revenue: Bottle Store - Existing Business Declaration(PDF, 400KB)
Statement of Gross Annual Sales Revenue: Grocery Store - Existing Business Declaration(PDF, 435KB)

Application for Waiver