Town of Port Hedland
Find us on Facebook Join us on Google+
= Required Fields

Online Form - Application for SECTION 39 Certificate of Local Health Authority

Property this application relates to


Applicant Details


Licensee’s details (if different to Applicant)


Alcohol to be served

Please check the following







In the case of a SPECIAL FACILITY LICENCE application

(b) What trading hours are sought?

Please select the start and finish times for the days you wish to trade. 

(c) Is approval sought to sell & supply liquor on:

Christmas Day
Good Friday
Anzac Day
(d) Is approval sought to sell and supply liquor for consumption off the licenced premises?