Skip company registration - application/registration form

I have read and agree to comply with the Section B ‘Conditions of a Licence for placing a skip within the Highway’ for inclusion in the annual agreement register.

By selecting the following checkbox you agree to the above statement *

Details of the company who you are applying on behalf of

Company name

Address line 1 *

Town or City *

County *

Postcode *

Contact details

Forename *

Surname *

Address line 1 *

Town or City *

County *

Postcode *

Email address *

Telephone number

Documentation

Please upload a copy of your £5 million minimum public liability insurance certificate

Please upload a copy of your waste carrier’s certificate

Payment method & declaration

Please select your preferred method of payment

Cheque on application

Monthly account

By clicking the following checkbox, you agree (on behalf of the company) that the information you have provided is correct *