69.10 Declaration As To Suitability Of Licensed Premises For Limited Restaurant Certificate

What this form is for

• • You need this form when confirming your business location meets standards for a 'Limited Restaurant' certificate.
• • Use it when applying for, renewing, or updating an existing Limited Restaurant Certificate.
• • This is specific to the suitability of the *premises*, not just the business operations themselves.
• • If you are dealing with another type of food service license, check if Form 69.10 is required instead.

Use this form or another form?

Deadline or filing window

Specific deadlines are not confirmed in official source, but aim to submit this as soon as your application requires it. Early submission prevents processing bottlenecks.

Before you submit

• • Ensure your full business name is correctly printed in the designated space.
• • Verify that the address declared matches the physical premises exactly (including Eircode).
• • Confirm you have ticked the correct declaration box regarding suitability.
• • Sign and date the form yourself; do not leave this blank.
• • Attach any required supporting documents (e.g., building plans, inspection reports) mentioned on the form.

How to file this form

1. 1Complete all sections of Form 69.10 clearly using black ink.
2. 2Sign and date the declaration section at the bottom.
3. 3Gather any required supporting evidence (e.g., photos, inspection reports).
4. 4Submit the completed form to the relevant Courts Service office or via their online portal.
5. 5Keep a copy of the signed and submitted form for your own records.

Known limitations

• • This form only declares suitability; it does not guarantee you will *receive* the Limited Restaurant Certificate.
• • The form does not specify which local authority's standards must be met, though that is implied by its use.
• • Not confirmed in official source: It doesn't state if this form can be submitted digitally or only hard copy.