Interstate liquor retailers form

Under the Liquor Act 2019 (NT), all interstate retailers must comply with the minimum sale price for liquor products.

Who can apply

To be eligible for an interstate retailer’s licence, you must:

be a retailer authorised under a law of a state or another territory to sell liquor
not hold any other licence under the Act and
not operate licensed premises in the Northern Territory (NT).

How to apply

To apply, fill in the form below and attach a copy of the state or other territory authorisation under which you sell liquor.

It is free to apply.

Contact details

Company or business details *

Telephone * Numbers only. No spaces, brackets etc.

Email *

Physical address *

Interstate liquor licence number *

State *

Postcode *

Nominee name *

Nominee phone *

Nominee email *

Nominee state *

Nominee postcode *

Do you use a delivery contractor? * If Yes, please complete the delivery contractor details below.

Delivery contractor name

Delivery contractor telephone

Delivery contractor email

Delivery contractor physical address

Attachments

Interstate authority * File can be PDF, image or word document.

ABN or other File can be PDF, image or word document.

Additional liquor licence File can be PDF, image or word document.

Confirmation

Please select * You must select all boxes to register.

I will not offer liquor for sale at a price that would be below the minimum unit (floor) price for alcohol to a prospective purchaser who is in the Northern Territory, or for liquor that is to be delivered to a location within the Northern Territory.
I have attached a copy of the authority under which I/my company is authorised by a state or another territory to sell liquor in that state or territory.
I declare that all information that I have provided is true and correct.

Privacy statement

You will be asked to provide personal information as part of this application. You do not have to provide us with your personal information but if you choose not to, we might not be able to accept or process your application, or your application may be refused.

We collect and use your personal information to process and manage this application (and, if approved, any subsequent licence/registration) under the Liquor Act 2019.

We may share your information with the Liquor Commission, NT Police, Fire and Emergency Services, local council, the Department of Health and/or other authorities or people, but only if we are required or authorised by law to do so.

We will also not use your personal information unless that use is required or authorised by law.

You have a right to access the information we hold about you. To learn more about this, or if you would like to access or correct the information we hold about you or make a privacy complaint about us, visit the Department of Tourism and Hospitality website.

To specifically discuss how your information is used and shared by Licensing NT, you can contact us on 08 8999 1800 or liquorlicensing.ditt@nt.gov.au.

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