Application for temporary highway licence for mobile scaffolding | Customer details

Page 1 of 6 (possible) . You are 17% complete.

Customer details

Applicant details

If you are applying on behalf of a business please note that the contact details provided below should be the person responsible for managing the licence both in terms of ensuring payments of fees and adherence to any terms and conditions.

Title

First nameRequired*

Last NameRequired*

Telephone NumberRequired*

Help: This number may be used to contact you about council services only (please include the area code)

Email Address

Help: This email address may be used to contact you about council services only

Please enter your postcode

Postcode

Address line 1Required*

Address line 2Required*

Address line 3

Address line 4

Post CodeRequired*