Government of Ontario

Tribunals Ontario
Licence Appeal Tribunal

PO Box 250
Toronto ON  M7A 1N3
Phone: 416-327-6500
Toll Free: 1-844-242-0608
Fax: 416-325-1060
Toll Free: 1-844-618-2566
Website: www.slasto-tsapno.gov.on.ca/lat-tamp/en/

Application for Removal of Conditions from a Liquor Licence
under Subsection 14 (2) of the Liquor Licence Act

Important Information

Establishment Information:


Exact Address of Establishment (not mailing address)








Contact Person (for processing this application)








The conditions I am requesting to remove were imposed at a public interest hearing held by the AGCO or Tribunal.

*If yes, I have attached a copy of the order which imposed the conditions as required.



Acknowledgment

Read the following carefully, check each box to confirm the statement, then sign and date the form.




The Licence Appeal Tribunal collects the personal information requested on this form under section 3 of the Licence Appeal Tribunal Act, 1999. This information will be used to determine applications under this Act. After an application is filed, all information may become available to the public. Any questions about this collection may be directed to the Licence Appeal Tribunal at 416-327-6500 or toll-free at 1-844-242-0608.

This page is not part of your disclosure to the other parties. Submit this page to the Tribunal only.

Payment Information:

Acceptable Methods of Payment:

If you are filing your application... You must pay by...
by fax credit card
by mail or courier credit card
certified cheque
money order
bank draft

I am paying my $106 filing fee by:



* If you are paying by credit card, you must provide the following information:






For Licence Appeal Tribunal Office Use Only:

The Licence Appeal Tribunal collects the personal information requested on this form under section 3 of the Licence Appeal Tribunal Act, 1999. This information will be used to determine applications under this Act. After an application is filed, all information may become available to the public. Any questions about this collection may be directed to the Licence Appeal Tribunal at 416-327-6500 or toll-free at 1-844-242-0608.

Disponible en français

02048E (2020/03)      © Queen’s Printer for Ontario, 2020