Nursing Home Permit Application

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This form is used by nursing homes that are registered with the Nova Scotia Department of Health and require liquor for medicinal purposes. Operations are to comply with the Province of Nova Scotia LIQUOR CONTROL ACT, REGULATIONS and POLICY GUIDELINES.

Please note that permits expire annually on December 31

Applicant Information

Company Information

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Alcohol Requirements

Premises Requirements

List all premises occupied by the Company (include all locations, street address, and purpose i.e. plant, warehouse, etc.) where alcohol will be used and/or stored.

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Declaration Information

I understand and acknowledge that the information provided by me on this Application is true, complete and correct, to the best of my knowledge and belief. I understand that a false statement may be considered sufficient reason to withhold or cancel the issuance of my Permit(s).

I also understand that by issuance of this Permit, my responsibility and obligation to adhere to the Nova Scotia Liquor Control Act, Regulations, and Policies & Procedures as well as any special conditions and changes which may, from time to time, occur.

I declare that I am at least 19 years of age.

Select Payment Type

The application fee can be paid by cheque, money order, cash or credit card. Cash transactions can only be made in person at the Head Office.