Notice of management change

Use this form to add or remove a duty manager, or appoint a new, acting or temporary manager.

Once submitted, we will notify partner agencies (NZ Police and Palmerston North District Licensing Committee).

You can choose from one of the following options when completing this form:

• New certificate-holding manager: If you're appointing a new permanent duty manager (who holds a current manager's certificate). This includes existing staff who may have recently obtained their duty manager certificate or new employees.
• Temporary manager: If you want to make one of your staff a permanent duty manager, but they don't currently have a manager's certificate. The staff member must apply for a manager's certificate within 2 working days of this notification. If you're appointing a temporary manager because a duty manager is leaving, please also complete a separate form for the person leaving.
• Acting manager: If your duty manager is going on annual leave or sick leave for more than 48 hours. If a duty manager is sick or on leave for no more than 3 weeks at any time (maximum period of 6 weeks per year) you can appoint an acting manager as cover, however you can't use an acting manager for longer periods.
• Cancellation of manager appointment: If a duty manager has stopped working at your premises.

Please note, you'll need to complete a separate form for each duty manager.