Have your say on the future of local government in Breckland

Consultee Database Eform

Fields marked with * are required
1. Title:
  
  Mr
  
  Mrs
  
  Ms
  
  Miss
  
  Dr
2. Surname
3. First Name
4. Email Address
5. Contact telephone number
6. 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
7. Postcode: (optional)
9. Address: (optional)
10. Company Name (where applicable): (optional)
11. Address 1 (optional)
12. Address 2 (optional)
13. Address 3 (optional)
14. Address 4 (optional)
15. Town (optional)
16. County (optional)
17. Postcode (optional)
18. Title: (optional)
  
  Mr
  
  Mrs
  
  Ms
  
  Miss
  
  Dr
19. Your Agent First Name: (optional)
20. Your Agent Surname: (optional)
21. Your Agent's Company Name (where applicable): (optional)
22. Your Agent's House Name / Number: (optional)
23. Your Agent's Street: (optional)
24. Your Agent's Town / Village: (optional)
25. Your Agent's Email (optional)
26. Your Agent's Telephone (optional)
27. Your Agent's Post Code: (optional)
28. Community Infrastructure Levy (optional)
29. Statement of Community Involvement (optional)
30. Other Documents Associated with the Local Plan (optional)
31. Breckland District Council is registered under the Data Protection Act 1988 for the purpose of processing personal data in the performance of its legitimate business. The information held by the Council will be processed in compliance with the principles set out in the Act. The preparation of the Local Plan is a public process and your contact details, which appear on this form, will be made public for this purpose.
32. I have read and understood the Statement above
33. Privacy statement
  
  Breckland Council is collecting this information, via this form, in order to perform this service or function, and if further information is needed in order to do so, you may be contacted using the details provided.
  
  In performing this service, the Council may share your information with other organisations or departments, but only when it is satisfied that it is necessary to perform a public task, or to exercise its statutory duties to do so.
  
  The Council may also share your personal information for the purposes of the prevention, investigation, detection, or prosecution of criminal offences, but will not share your personal information, or use it for any other purpose, unless provided for by law.
  
  More detailed information about the Council's handling of your personal data can be found in our privacy policy.

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Have your say on the future of local government in Breckland

Consultee Database Eform

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Consultee Database Eform

Privacy statement

Is this page useful?