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Your Borough Of Poole

Lottery Licence Application

Schedule 11of the Gambling Act 2005 controls the conduct of small lotteries, raffles etc. by societies raising money for charitable, sports and other similar purposes, otherwise than for personal gain.

When a lottery has been held, the promoter must complete and send a statement form to the council, not later than three months after the date of the lottery. The statement must be certified by two members of the society, (other than the promoter) being persons 18 years old or over appointed in writing by the society's governing body.

You can use this application form to apply for the above licence. The Lottery statement form is also available.

The forms are available in 2 formats -

  • a pdf version to print off and complete or
  • a Word version to download and type into which allows you to keep an electronic copy.

The fees involved with these applications are:

  • First Application - statutory   £40.00
  • Renewal -            statutory   £20.00

We are unable to accept this form by email because it must have a signature. Please print the form, sign it and return it to the address below.

Return completed form to:
Environmental Services
Unit 1, Newfields Business Park, 2 Stinsford Road, Poole
BH17 0NF

Tel: 01202 261700
Email: environment@poole.gov.uk

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01202 261700

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18001 01202 261700

Environmental Services
Unit 1
Newfields Business Park
2 Stinsford Road
BH17 0NF