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Application for an Access Protection Marking

Items marked * must be completed
Please ensure that you have read and understood the requirements and conditions for an Access Protection Marking

Your Contact Details

1. Your Name
2. Address
Find Address:

Details of your application

3.
4.
5.
6.
(maximum 500 characters)
7.

If you are a Blue Badge Holder, we also need you to upload a photocopy of your badge for this application.

No Blue Badge has been uploaded
To upload your document, click on the 'Choose a File' button and select the file you wish to upload.
Files must be in pdf, gif, png, jpg or doc format.
8.
(maximum 500 characters)

Additional Evidence

9. (maximum 1000 characters)

Declarations

  • I certify that the information I have submitted is true and accurate.
  • I have read and understood the requirements and conditions for an Access Protection Marking.
  • I understand that the fee of ¬£109.00 is non-refundable, regardless of the outcome of my application.
  • I understand that this fee only covers 1 installation. Should the Access Protection Marking become worn, require renewal or alteration a new application will be necessary and additional payment will be required.