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Official form guide

Form 69.5 Notice Of Application For A Declaration As To Suitability Of Licensed Premises For A Limited Restaurant Certificate

This is Form 69.5 from the Courts Service of Ireland. It serves as a formal notice when applying for a Declaration regarding whether a particular premises is suitable for receiving a Limited Restaurant Certificate. You use this when you need official confirmation about your restaurant's suitability.

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Form Overview

Courts Service of Ireland - Form 69.5 Notice Of Application For A Declaration As To Suitability Of Licensed Premises For A Limited Restaurant Certificate

This is Form 69.5 from the Courts Service of Ireland. It serves as a formal notice when applying for a Declaration regarding whether a particular premises is suitable for receiving a Limited Restaurant Certificate. You use this when you need official confirmation about your restaurant's suitability.

The form captures details about the specific licensed premises and declares its suitability for a Limited Restaurant Certificate. It confirms that the location meets necessary standards.

Risk Radar

Scan points
  • 1Ensure the property address exactly matches the location where you want the certificate issued.
  • 2Incorrect premises identification number
  • 3Missing signature or date on the declaration
  • 4Not matching the property description to local zoning laws
  • 5Filing too late after initial restaurant setup

Plain English

Essentially, this form tells the courts that you want an official stamp saying your business location meets all the rules for running a small restaurant in Ireland. Think of it as asking the court to verify your premises are fit for purpose under Irish regulations.

Submission Date

  • Filing date: While no specific deadline is listed here, aim to submit Form 69.5 well in advance of your main application date to avoid delays with the Courts Service.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • You need official confirmation that your premises meet requirements before applying for a Limited Restaurant Certificate.
  • Use this when you are unsure if your current licensed location is suitable for restaurant use.
  • This form serves as the formal notification to the Courts Service of Ireland about your application.
  • It is used specifically in relation to securing a 'Limited' Restaurant Certificate.

Form selector

Use this form or another form?

Need general proof of suitability?

This form signals the *application* for the declaration.

✓ Check if you need just the declaration or the application notice.

Not confirmed in official source (but likely 69.5)

Applying for a full, standard restaurant certificate?

Form 69.5 is specific to the 'Limited' status.

✓ See what other forms reference this one.

Not confirmed in official source (but perhaps another CRO/Courts form)

Just updating existing premises details?

Use this if you are applying for a *new* declaration of suitability.

✓ Check if an amendment/variation form exists.

Not confirmed in official source

Deadline or filing window

While no specific deadline is listed here, aim to submit Form 69.5 well in advance of your main application date to avoid delays with the Courts Service.

Before you submit

  1. 1Fill in all sections completely; leave nothing blank if possible.
  2. 2Use clear, legible handwriting if printing and signing manually.
  3. 3Ensure the name and address of the licensed premises are accurate.
  4. 4Attach supporting documentation proving suitability (e.g., floor plans, licenses).
  5. 5Sign and date the form where indicated.
  6. 6Check that all required declarations/statements boxes are ticked.

How to file this form

  1. 1Complete all fields on Form 69.5 accurately.
  2. 2Gather all necessary supporting evidence for the suitability declaration.
  3. 3Sign and date the form in the designated area.
  4. 4Submit the completed package to the relevant Courts Service of Ireland office or portal.
  5. 5Keep a copy of the fully submitted form for your records.

Known limitations

  1. 1This form only *notifies* the application; it is not the certificate itself. The declaration follows this notice.
  2. 2The specific required supporting documents are not confirmed in official source, but they must relate to suitability.
  3. 3It does not guarantee approval of the Limited Restaurant Certificate.
  4. 4The exact submission method (online vs. hard copy) depends on local Courts Service instructions.

Field map

Compact field-by-field guide

6 fields

Proceedings

3 items

Title of Proceedings

The names of the parties exactly as they appear on the originating document.

Requiredtext
Record Number

The court record number for the case, if one has been assigned.

Requiredtext
Court and Office

The court and the office where the document is being filed.

Requiredtext

Substance

2 items

Relief or Information Sought

What you are asking the court to do, or the information the form requires.

Requiredtext
Grounds and Exhibits

The facts relied on and any documents exhibited with the filing.

text

Execution

1 items

Signature, Jurat or Service Details

Signed, sworn or certified as the form requires, with proof of service where needed.

Requiredsignature
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Current form status
COURTS

This is the standard application notice for a declaration regarding restaurant suitability. Check the form itself for any specific version dates or recent amendments.

What changed or needs a fresh check

  • Check the top corner for the specific revision date.
  • Verify the Courts Service of Ireland logo placement is correct.
  • Ensure there are no handwritten annotations that override printed fields (unless required).
  • Confirm the official Form Number 69.5 is clearly visible.

Quick Facts

Anyone operating or planning to operate a limited restaurant in Ireland needs to use this form. This applies to the premises itself, not just the business owner.
The form captures details about the specific licensed premises and declares its suitability for a Limited Restaurant Certificate. It confirms that the location meets necessary standards.
Submit this when you are applying for or require proof of the Limited Restaurant Certificate. There is no fixed deadline mentioned in the title, but it must be filed before the application is processed.
Submission details are not confirmed in the official source, but typically courts accept physical copies sent via post or through an online portal. Check the Courts Service website for specific submission methods.
Submitting this correctly ensures your restaurant receives its certificate without delay. Errors can stall the entire application process with the Courts Service.
First, gather all details of your premises. Next, complete Section 1 with the required identification and address information. Finally, sign and date the declaration section before submitting it to the relevant court office or online portal.

Form Details

Revision date
23/10/25

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Sources

  • SRCAgency: Courts Service of Ireland
  • SRCForm Number: 69.5
  • SRCPurpose: Notice Of Application For A Declaration As To Suitability Of Licensed Premises For A Limited Restaurant Certificate
  • SRCContext: Formal application notice for restaurant suitability confirmation.

Common confusion points

Confusing 'Suitability' with 'Licensing': Form 69.5 proves the *place* is suitable; the certificate grants permission to *operate*.

Not knowing which specific Courts Service office handles your application.

Thinking you need this form even if you already have a restaurant license (if that license is old, check its validity).

Mistaking it for an appeal notice when you are actually applying for the declaration initially.

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Source transparency

Copyright & Licensing — Irish Government Forms

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