Coronavirus: Pavement Licence Application

Please read the Guidance Notes before completing this application form.
Fields marked with * are required.
Section 1: Applicant Details (Individual Applicants)
1. Title: *
2. First Name(s):*
3. Surname:*
4. Phone (Home):*
5. Phone (Mobile):*
6. Email Address*
7. Date of Birth (DD/MM/YYYY):*
8. NI Number: *
9. Please enter your address postcode and click on 'Find Address'. Then click on the drop down arrow on the address box and choose the correct address
10. Postcode:
12. Address:
13. Address 1
14. Address 2
15. Address 3
16. Village / Area
17. Town
18. County
19. Postcode
Section 2: Applicant Details (Other Applicants e.g. Companies)
1. Name:
2. Registered address:
3. Postcode:
4. Phone (Daytime):
5. Phone (Mobile):
6. Email:
7. Registered Number (where applicable):

Last updated: 12/09/2021 09:31:06