Provisional Statement Application Form

How to apply for a Provisional Statement

Apply online

  1. Download and save the Provisional Statement Application Form.
  2. Complete the application form (PDF) on your computer. To edit the form you'll need a recent version of Adobe Reader.
  3. Upload your application form and supporting documents
  4. Pay the Application fee

Provisional Statement (V2)

When you're ready to submit your application form and supporting documents click or tap the Start button.

Start


By post

  1. Download the Provisional Statement  Application Form.
  2. Complete, sign and date the application form
  3. Send your application form and supporting documents to: Licensing Team, Council Offices, 37 Pembroke Road, London W8 6PW

Cheques and postal orders should be made payable to the Royal Borough of Kensington and Chelsea

*Remember you must send a copy of your completed form and supporting documents to each responsible authority

Application for a Provisional Statement

List of responsible authorities