Application for a skip licence Section 139, Highways Act 1980

Please read the guidance notes

Skip hire company details
Company name

Full name of company representative

Surname*
Forename(s)*
Company address
Registered office address (if applicable)
Telephone number*
Email*
Applicants interest in the premises
Client details
Name*
Address*
Telephone*
Skip location
Please enter street name*
 

Proposed location of skip (max 60 char)*
Do you propose to place the skip in a designated parking bay*

Please list agreed dates

Start date :*
End date :*
Have you previously had a skip on this site?*

Licence reference*
Period for which a licence is sought:
Start date :*
End date :*

(Maximum period for a skip licence is four weeks)