Application for Manager s Certificate

Transcription

1 Application for Manager s Certificate CHECKLIST Please attach completed checklist to your application Buller District Licensing Agency Westport Office Reefton Service Centre 6-8 Brougham Street 66 Broadway PO Box 21 PO Box 21 Westport 7866 Reefton 7851 T: (03) T: (03) F: (03) info@bdc.govt.nz Website: Name of Applicant The Sale and Supply of Alcohol 2012 requires ALL managers to hold either a Licence Controllers Qualification certificate (LCQ) issued on or after 18 December 2013 or for those people who have a LCQ issued before 18 December 2013 evidence of successful completion of a bridging test to show they understand and can comply with the new Act. However all existing manager s certificates are valid until their expiry date. ServiceIQ is currently the only provider of the bridging test. However the test can be done online for free, contains multiplechoice questions, and a digital PDF certificate can be printed out by the applicant after successful completion of the test. For further information visit the ServiceIQ website at You must be 20 years of age or older to be appointed as a Manager, a Temporary Manager or an Acting Manager. Information and requirements noted below for new and renewals of Manager Certificates. EVERY application must be accompanied by the following: The original of the completed application The prescribed fee being $ including gst. Copy of Licence Controller Qualification (LCQ) certificate issued on or after 18 December 2013; OR: Copy of Licence Controller Qualification (LCQ) certificate issued before 18 December 2013 and evidence of successful completion of the LCQ bridging test. NZ Police Authorisation Form Application for NEW Manager s Certificates must also include the following: A reference including name and contact details of the referee providing evidence of current or recent employment at licensed premises. A character reference including name and contact details of the referee from a person who is not associated with the licensed premises in which you are currently or have recently worked and who has known you for a minimum of five years. Note There will be no new Club Manager s certificates under the Sale and Supply of Alcohol Act 2012 and Manager s of clubs must have the same qualifications as managers of other licensed premises. Application for RENEWAL of GENERAL Manager s Certificates If you do not have a LCQ certificate issued on or after 18 December 2013, or a Bridging test certificate when your certificate expires, the District Licensing Committee may issue a limited renewal certificate for a one year period to enable you to obtain one of the above qualifications. If at the expiry of this one year period you have still not obtained the required qualifications your certificate will not be renewed. Application for RENEWAL of CLUB Manager s Certificates There are no club manager s certificates under the Sale and Supply of Alcohol Act However the District Licensing Committee may issue a limited renewal certificate for a one year period to enable you to apply for a new manager s certificate. You will need to obtain a LCQ certificate issued on or after 18 December 2013 or a bridging certificate if you have a LCQ issued prior to this date in order to apply for a manager s certificate.. 10/12/13

2 Buller District Licensing Agency Westport Office Reefton Service Centre 6-8 Brougham Street 66 Broadway PO Box 21 PO Box 21 Westport 7866 Reefton 7851 T: (03) T: (03) F: (03) Website: Application for Manager s Certificate Section 219 Sale and Supply of Alcohol Act 2012 Form 17 To: The Secretary Buller District Licensing Committee c/ Buller District Council PO Box 21 WESTPORT 7866 Application for a manager s certificate is made in accordance with the details set out below. Please use a separate sheet of paper if there is insufficient space provided for your answers. Details of Applicant 1. Full legal name: 2. Alias (if applicable): 3. Usual residential address: 4. Postal address for service of documents: 5. Gender: Male Female 6. Occupation: 7. Date and Place of Birth: 8. Daytime contact name and number: 9. Address: 10. Details of Criminal Convictions: (State all criminal convictions other than convictions for offences against provisions of the Land Transport Act 1998 not contained in Part 6, and offences to which the Criminal Records (Clean Slate) Act 2004 applies) DLA Administration Use Only Date Lodged: Fee paid: Debtor No.: Record No.: Receipt No.: Invoice:

3 Application for a New Manager Certificate Date of Issue 10/12/13 Page Have you had any experience, in particular recent liquor experience, in controlling any premises or conveyance in respect of which a licence was in force? Yes No If Yes, what are the details and dates of that experience? 12. Have you had any relevant training, in particular recent training? Yes No If Yes, what are the details of that training and on what dates was it taken? 13. Do you hold the Licence Controller Qualification (or a prescribed qualification within the meaning of Section 218 of the Sale and Supply or Alcohol Act 2012)? Yes No If Yes, on what date was that qualification obtained? [Please attach copies] 14. Do you intend at this time to be the duty manager of any particular licensed premises? Yes No If Yes, what are the identifying particulars of those licensed premises? 15. Are you currently employed at a licensed premise? State name and address of premises. Yes No 16. If employed at a Club, what is the extent of your involvement in the management and activities of the club? Dated at this day of 20 Applicant Signature Notes 1 This application must be accompanied by the prescribed fee. 2 If the applicant intends to be the manager of any particular licensed premises, the application must be filed with the Secretary of the District Licensing Committee with which the application for the licence was filed. 3 In all other cases, the application should be filed with the Secretary of the District Licensing Committee for the district in which the applicant is residing.

4 NEW ZEALAND POLICE AUTHORISATION As applicant for this Licence/Manager s Certificate, you are requested to sign the authorisation below. Failure to allow Police to disclose this information may result in your application only being determined at a hearing held by the District Licensing Committee where you will be required to attend and present information for this Authority s consideration. AUTHORISATION The Police are required to report on this application. That report may include the release of any previous convictions you may have. You will receive a copy of that report. Do you consent to the release of this information? YES NO SIGNATURE OF APPLICANT: FULL NAME OF APPLICANT: DATE: 10/12/13

5 CRIMINAL RECORDS (CLEAN SLATE) ACT 2004 The impact of the Criminal Records (Clean slate) Act 2004 on applications for manager s certificates under the Sale and Supply of Alcohol Act 2012 The Criminal Records (Clean Slate) Act 2004 commences on Monday 29 November The Act will enable individuals who satisfy all of the eligibility criteria to conceal all of their convictions in most circumstances. It sets a high threshold for eligibility. The general criteria for obtaining the benefits of the clean slate scheme are set out below. Section 7 of the Act should be consulted for full information. The individual must have: No convictions within the last seven years; Never been sentenced to a custodial sentence (eg imprisonment, corrective training, borstal); Never been ordered by a Court during a criminal case to be detained in a hospital due to his/her mental conditions, instead of being sentenced; Not been convicted of a specified offence (eg sexual offending against children and young people or the mentally impaired see interpretation section for a full list); Paid in full any fine, reparation or costs ordered by the Court in a criminal case; Never been indefinitely disqualified from driving under section 65 of the Land Transport Act 1998 or an earlier equivalent provision (section 65 relates to mandatory penalties for repeat offences involving use of alcohol or drugs). There are some exceptions under section 19 of the Act where all convictions must continue to be disclosed. However, no exception applies for the purposes of determining applications for manager s certificates under the Sale and Supply of Alcohol Act Section 21 of the Criminal Records (Clean Slate) Act 2004 provides that any reference in a provision to an individual s criminal record or character or fitness must be interpreted in a way that is consistent with the clean slate scheme. Therefore, where an individual is eligible for a clean slate, he or she will be entitled to conceal their criminal record, and their criminal record would not be accessed or used when determining whether or not the individual is a fit and proper person. There is additional information about the legislation on the Ministry of Justice website: In addition, the Ministry has produced a pamphlet which will be available on the website as well as at courts, police stations, citizen s advice bureaux and community law centres. 10/12/13

6 FEE & CHARGES Sale and Supply of Alcohol (Fees) Regulations 2013 Buller District Licensing Agency Westport Office Reefton Service Centre 6-8 Brougham Street 66 Broadway PO Box 21 PO Box 21 Westport 7866 Reefton 7851 T: (03) T: (03) F: (03) Website: Special Licences and Manager Certificates Fees must be paid at the time of application and no application will be accepted without the relevant fee. Special licences The fee payable for a Special Licence is also assessed using a cost/risk rating system depending on the size of the event and the number of events applied for. Large event: Means an event that the territorial authority believes on reasonable grounds will have patronage of more than 400 people Medium event: Means an event that the territorial authority believes on reasonable grounds will have patronage of between 100 and 400 people Small event: Means an event that the territorial authority believes on reasonable grounds will have patronage of fewer than 100 people Class Issued in respect of Application fee $ inc GST 1 1 large event: $ More than 3 medium events: More than 12 small events 2 3 to 12 small events: $ to 3 medium events 3 1 or 2 small events $63.25 Manager s certificates The fee to apply for a new manager s certificate or renewal of an existing certificate is $ including GST. All existing manager s certificates (including club manager s certificates) will remain valid until their expiry date. However if you do not have a Licence Controller Qualification (LCQ) certificate issued on or after 18 December 2013, or a Bridging test certificate when your certificate expires, the District Licensing Committee may issue a limited renewal certificate for a one year period to enable you to obtain one of the above qualifications. If at the expiry of this one year period you have still not obtained the required qualifications your certificate will not be renewed. NOTE: Under the new Act there will no longer be Club Manager s certificates although existing certificates will remain valid until they expire at which time the manager must apply for a new manager s certificate. This will require the applicant to obtain a qualification (currently the Licence Controller Qualification (LCQ) certificate) like all other managers before lodging their application. If you have already obtained a LCQ the requirements for managers to obtain a Bridging test as detailed above will apply. Fees and Charges: Special Licences and Manager Certificates Page 5 Date of Issue: 10/12/13