WMX12 Paragraph 12. Form WMX12: storing and composting biodegradable waste exempt activity. For Agency use only

Size: px
Start display at page:

Download "WMX12 Paragraph 12. Form WMX12: storing and composting biodegradable waste exempt activity. For Agency use only"

Transcription

1 Form WMX12: storing and composting biodegradable waste exempt activity WMX12 Paragraph 12 tification of an exempt activity: Storing and composting biodegradable waste Waste management licensing exemptions Environmental Protection Act 1990 Waste Management Licensing Regulations 1994, Schedule 3 Paragraph 12 For Agency use only Date received Please read the guidance notes and the form carefully before you complete it. How to let us know about the activity tification status Activity registered? Yes date registered Environment Agency team Entered by Date entered Comments Use this form if you want to carry out storage and composting of biodegradable waste that you believe qualifies as exempt from waste management licensing. The form asks for the information we need to decide if your activity can be registered as exempt from waste management licensing. If you fill in the form accurately, it will help us deal with the notification more quickly. This notification form is for use in connection with an exempt activity as listed in paragraph 12, Schedule 3 of the regulations. See page 1 of the guidance notes for more information. You will have to make separate notifications for each additional exempt activity. When you make the notification, please make sure you answer all the questions that apply to you. If any of the questions do not apply to you, please write t applicable. If you leave anything out, we may need to get in touch with you for the information. We recommend your notification is sent to us at least 35 days before the date you intend to carry out the activity. This will allow us sufficient time to complete the assessment of the notification before your proposed start date. It is an offence to carry out this exempt activity without being registered with us. Please contact us if you are unclear about anything in this form. The general enquiries number is WMX12v041a page 1

2 1 About the establishment or undertaking This is the person, company or organisation who will carry out the exempt activity (waste treatment). 1.1 Are you an individual, a group of individuals (or partnership) or a company/corporate body? Individual, for example, sole trader Company Other organisation 1.2 Please give the following details Name of company or organisation if applicable 2 About the notification Type of notification 2.1 Are you registering an exempt activity for the first time go to question 3.1 making changes to an existing registration See page 1 of the guidance notes for more about changes 2.2 Making changes to your current registration Please complete the sections of the form where you need to make your changes supply new plans and evidence showing those changes. Current registration number plans and evidence attached 3 About the waste 3.1 Please give the following details about the waste you propose using See the guidance notes for a list of EWC codes. Waste description EWC code (for example ) 1.3 Please give us details of a person we can phone or write to with questions about this notification, if different from above. This can be someone acting as a consultant or agent for the establishment or undertaking. Name of company or organisation if applicable 3.2 Does the waste contain any material subject to the Animal By-products Regulations 2003? For example, left-over food stuffs, catering wastes etc. go to question 4.1 Yes will the composting operation be in accordance with the above regulations? There is more about this in the guidance notes. Yes State Veterinary Service authorisation reference number (or other authorisation details) page 2 WMX12v041

3 4 About the composting activity 4.1 Where will the composting take place? the address given in question 1.2 as below 4 About the composting activity continued 4.5 How much waste do you intend to store or compost at any one time? 10 cubic metres or less. w go to 6 Checklist more than 10 cubic metres at any one time The regulations permit a maximum of 1,000 cubic metres of waste composted. Please give an Ordnance Survey map reference. For example, ST Field number if there is one Associated activities 4.2 Will you be carrying out any of the following at the site? storage before composting screening before composting chipping shredding cutting pulverising screening after composting storage of compost 4.3 When do you plan to start your first activity ticked in question 4.2 above? Start date 4.4 What method of composting will you be using? Containment means composting in a contained or controlled environment, for example a sealed building or vessel. Tick all that apply Open air windrow composting without containment or any impermeable pavement or sealed drainage without containment, but on an impermeable pavement with sealed drainage or composting with containment please give details of the method 5 Impact on the surrounding area You need to complete this section if you are composting more than 10 cubic metres of waste at any one time. 5.1 Is the site within a 1km radius of any environmentally sensitive site? For example Site of Special Scientific Interest, Special Area of Conservation etc. Yes name of the site 5.2 Please supply a map or plan showing site boundary location of all activities ticked in question 4.2 and any of the following that are within 250m of the site buildings public rights of way water abstraction points surface waters groundwater protection zones I have attached a map or plan. See the guidance notes for how to set out plans. 5.3 Please provide a pollution risk assessment that identifies the source of any hazards associated with the activity the receptors potentially at risk the linkages between the two the magnitude of the risk, and how any risks can be managed or mitigated. See the guidance notes for full details. Document reference number WMX12v041 page 3

4 6 Checklist 7 Data protection notice New notifications I am enclosing map or plan, question 5.2 pollution risk assessment, question 5.3 continuation sheets please give question numbers tifications about changes I am enclosing map or plan, question 5.2 pollution risk assessment, question 5.3 continuation sheets please give question numbers The Environment Agency is responsible for regulating environmental protection, flood defence, water resources and fisheries. It has a duty to discharge its functions to protect and enhance the environment and to promote conservation and recreation. The information provided will be processed by the Environment Agency to deal with your notification, to monitor compliance with the licence/permit/registration conditions, to process renewals and for maintaining the relevant public register(s). We may also process and/or disclose it in connection with the following: offering/providing you with our literature/services relating to environmental matters. consulting with the public, public bodies and other organisations (e.g. Health and Safety Executive, local authorities, emergency services, Defra on environmental issues) carrying out statistical analysis, research and development on environmental issues providing public register information to enquirers investigating possible breaches of environmental law and taking any resulting action preventing breaches of environmental law assessing customer service satisfaction and improving our service responding to requests for information under the Freedom of Information Act 2000 and the Environmental Information Regulations 2004, where the Data Protection Act allows. Individuals have a right to see the information we hold about them. We will correct it if it is inaccurate. We may pass it on to our agents/representatives to do these things on our behalf. You should ensure that any persons named on this form are informed of the contents of this data protection notice. Disclosing information you give us in this notification We will place some of the information from your notification on the public register your name where the activity is taking place and details of the activity. page 4 WMX12v041

5 8 Declaration I /we declare that the information provided both on the notification form and in the supporting documentation which has been supplied with the notification, and referred to in the checklist section of this notification form, is correct. A person knowingly or recklessly making a statement which is false or misleading in order to obtain a registration (for himself or another person) commits an offence under section 44 of the Environmental Protection Act If you make a false or misleading statement we may prosecute you and if you are convicted, you are liable to a fine or imprisonment (or both). The person signing this form must have the legal authority of the establishment or undertaking to sign on its behalf. Signature 9 What happens next After you fill in the form, please read through it again and make sure you have answered all the questions that apply to you included all the documents you need to send us. The checklist will help you with this. Send your completed form and all supporting documents to the Environment Agency office nearest to the proposed activity. You can find a list of these on our website then view Regional information. You can also call our general enquiries number for the information: Remember your notification should reach us 35 days before the date you intend to carry out the exempt activity. It is an offence to carry out this exempt activity without being registered with us. We will let you know our decision within 35 days of receiving your notification. We will send you confirmation of your registration or a notice of refusal. If we refuse your notification we will tell you why. There is no appeal process for exemptions. Company name if applicable Date Please show who has signed the notification on behalf of the establishment or undertaking. the establishment or undertaking a consultant an agent Please give an address if different to that specified in 1.2 or 1.3 WMX12v041 page 5

Introduction. When should I use this form?

Introduction. When should I use this form? Registration of T3 and T7 Exempt Waste Operations Local Authority Pollution Prevention and Control Pollution Prevention and Control Act, 1999 Environmental Permitting (England and Wales) Regulations 2010

More information

Application for a Waste Management Licence

Application for a Waste Management Licence Application for a Waste Management Licence Waste management (For office use only) stamp Received by Initials Please read the guidance notes and the form carefully before you complete it. How to apply To

More information

CALDERDALE METROPOLITAN BOROUGH COUNCIL

CALDERDALE METROPOLITAN BOROUGH COUNCIL CALDERDALE METROPOLITAN BOROUGH COUNCIL POLLUTION PREVENTION AND CONTROL ACT, 1999 ENVIRONMENTAL PERMITTING (ENGLAND AND WALES) REGULATIONS 2010 (AS AMENDED) When to use this form Transfer Application

More information

Application for a Waste Management Licence to operate an Authorised Treatment Facility (ATF) for End of Life Vehicles (ELV)

Application for a Waste Management Licence to operate an Authorised Treatment Facility (ATF) for End of Life Vehicles (ELV) Application for a Waste Management Licence to operate an Authorised Treatment Facility (ATF) for End of Life Vehicles (ELV) (For office use only) Date stamp Received by Initials Fee paid No Yes please

More information

PART B APPLICATION FORM. Application for a permit for a dry cleaners

PART B APPLICATION FORM. Application for a permit for a dry cleaners Introduction PART B APPLICATION FORM Application for a permit for a dry cleaners Local Authority Pollution Prevention and Control Pollution Prevention and Control Act, 1999 Environmental Permitting (England

More information

Part B Application form. Application for a Permit to operate a Dry Cleaning process

Part B Application form. Application for a Permit to operate a Dry Cleaning process Part B Application form Application for a Permit to operate a Dry Cleaning process Local Authority Pollution Prevention and Control Pollution Prevention and Control Act, 1999 Pollution Prevention and Control

More information

Environmental Protection team, Babergh and Mid Suffolk District Councils, 131 High Street, Needham Market, Ipswich, Suffolk, IP6 8DL.

Environmental Protection team, Babergh and Mid Suffolk District Councils, 131 High Street, Needham Market, Ipswich, Suffolk, IP6 8DL. Application for a Part B permit for a Dry Cleaners Local Authority Pollution Prevention and Control Pollution Prevention and Control Act, 1999 Environmental Permitting (England and Wales) Regulations 2010

More information

Paragraph 9 Exemption The reclamation or improvement of land

Paragraph 9 Exemption The reclamation or improvement of land The reclamation or improvement of land 1 INTRODUCTION This document provides guidance, definitions, operational policy and strategy with regard registering a paragraph 9 exemption under Schedule 1 of the

More information

all directors of a children s home involved in the carrying on of the children s home

all directors of a children s home involved in the carrying on of the children s home SC2 Declaration and consent form This form should be completed by the applicant, including: all individuals registering as an individual provider the proposed responsible individual representing an organisation

More information

How to apply. Form WML1 - Waste Management Licensing application form

How to apply. Form WML1 - Waste Management Licensing application form Form WML1 - Waste Management Licensing application form How to apply Please discuss your proposals with us before completing this form. When you make your application, please make sure that you: Answer

More information

Confirmation of British nationality status

Confirmation of British nationality status FORM NS June 2014 Confirmation of British nationality status Gov.uk Confirmation of British nationality status Before completing this form you should ensure that you have a valid claim to British nationality.

More information

Statement of Practice on penalties for incorrect returns

Statement of Practice on penalties for incorrect returns Statement of Practice on penalties for incorrect returns States of Guernsey Income Tax PO Box 37 2 Cornet Street St Peter Port Guernsey GY1 3AZ Telephone: (01481) 724711 Facsimile: (01481) 713911 E-mail:

More information

Guidance notes on part C2 General varying a bespoke permit

Guidance notes on part C2 General varying a bespoke permit Guidance notes on part C2 General varying a bespoke permit Please read these guidance notes carefully before you fill in the forms. This guidance will help you complete part C2 of the application form

More information

Application to become a Lloyd s Open Market Correspondent

Application to become a Lloyd s Open Market Correspondent Application to become a Lloyd s Open Market Correspondent Please read the following notes carefully before filling in this form. 1. A separate application form must be completed for each firm that wishes

More information

Application for Planning Permission for Relevant Demolition in a Conservation Area Town and Country Planning Act 1990

Application for Planning Permission for Relevant Demolition in a Conservation Area Town and Country Planning Act 1990 Application for Planning Permission for Relevant Demolition in a Conservation Area Town and Country Planning Act 1990 1. Applicant Name and Address Please enter the Applicant Details, including full name

More information

Guidance notes on part B2 General New bespoke permit

Guidance notes on part B2 General New bespoke permit Guidance notes on part B2 General New bespoke permit Please read these guidance notes carefully before you fill in the forms. This guidance will help you complete part B2 of the application form pack.

More information

Self Build Mortgage Application Form. Stage 2 of 2

Self Build Mortgage Application Form. Stage 2 of 2 Self Build Mortgage Application Form Stage 2 of 2 Please submit stage 2 form to BM Solutions PMP, Birmingham Midshires PO Box 136 Wolverhampton WV9 5HZ to upgrade to full application once customer has

More information

Entertainment Industry Accreditation Application

Entertainment Industry Accreditation Application OFFICE USE ONLY Client no.: Date received: / / Application no.: INZ 1197 Entertainment Industry Accreditation Application Under Specific Purpose or Event Instructions Entertainment industry accreditation

More information

Value Added Tax Application for registration

Value Added Tax Application for registration HM Customs and Excise VAT Value Added Tax Application for registration Please read VAT Notice 700/1: Should I be registered for VAT? before you begin to complete the application form as the explanatory

More information

APPLICATION FORM. 5. Are you the owner of the premises? YES/NO (Circle your answer)

APPLICATION FORM. 5. Are you the owner of the premises? YES/NO (Circle your answer) Application No. Government Scheme to provide Emergency Humanitarian Support to Small Businesses 2015 (For small businesses adversely affected by flooding arising from Storm Desmond covering the period

More information

Employer Accreditation Application

Employer Accreditation Application OFFICE USE ONLY Client no.: Date received: / / Application no.: December 2015 INZ 1090 Employer Accreditation Application Under Talent (Accredited Employers) Work Instructions Information for employers

More information

home contents insurance A special service for tenants of Bristol City Council

home contents insurance A special service for tenants of Bristol City Council Peace of mind at an affordable cost home contents insurance A special service for tenants of Bristol City Council # # Tenants Home Contents Insurance Scheme Application Form (Subject to the terms, exclusions

More information

Application for an Operator s Licence for the Carriage of Goods by Road

Application for an Operator s Licence for the Carriage of Goods by Road Application for an Operator s Licence for the Carriage of Goods by Road To avoid delays in processing your application, kindly read this form carefully, and fill it in completely. The Authority for Transport

More information

Application form for childminders and providers of childcare on domestic premises to seek approval to operate from non-domestic premises

Application form for childminders and providers of childcare on domestic premises to seek approval to operate from non-domestic premises Application form for childminders and providers of childcare on domestic premises to seek approval to operate from non-domestic premises Please complete this form online and return via email if possible.

More information

COMMERCIAL BUILDERS STRUCTURAL DEFECTS INSURANCE PROPOSAL (VICTORIA)

COMMERCIAL BUILDERS STRUCTURAL DEFECTS INSURANCE PROPOSAL (VICTORIA) COMMERCIAL BUILDERS STRUCTURAL DEFECTS INSURANCE PROPOSAL (VICTORIA) NOTICE TO THE APPLICANT FOR INSURANCE IMPORTANT NOTICES Commercial Builders Structural Defects insurance policies issued by Prime Underwriting

More information

Fair Trading will aim to make a decision on your application within 6 weeks after receiving all relevant information from you and other agencies.

Fair Trading will aim to make a decision on your application within 6 weeks after receiving all relevant information from you and other agencies. Application No. OFFICE USE ONLY Form PL-21 ABN 81 913 830 179 Property, Stock and Business Agents Act 2002 Application for a CERTIFICATE OF REGISTRATION FEE: $129.00 - applicable from 1 July 2015 to 30

More information

Abstracting water. A guide to getting your licence. managing all our water needs

Abstracting water. A guide to getting your licence. managing all our water needs Abstracting water A guide to getting your licence managing all our water needs We are the Environment Agency. It s our job to look after your environment and make it a better place for you, and for future

More information

APPLICATION FORM EXTENDED CLOSING DATE FOR RECEIPT OF APPLICATIONS: 21 ST FEBRUARY 2016

APPLICATION FORM EXTENDED CLOSING DATE FOR RECEIPT OF APPLICATIONS: 21 ST FEBRUARY 2016 Application No. Government Scheme to provide Emergency Humanitarian Support to Small Businesses 2015 (For small businesses adversely affected by flooding arising from Storm Desmond and Storm Frank covering

More information

Pre Application Advice Charging Scheme and Post Application Service Introduction (1 st February 2014)

Pre Application Advice Charging Scheme and Post Application Service Introduction (1 st February 2014) Pre Application Advice Charging Scheme and Post Application Service Introduction (1 st February 2014) The Development Control Service is responsible for providing planning advice, processing planning applications

More information

Please describe the proposal accurately and concisely. State the number of storeys proposed and the position of any extensions.

Please describe the proposal accurately and concisely. State the number of storeys proposed and the position of any extensions. Householder Application for Planning Permission for Works or Extension to a Dwelling and for Relevant Demolition in a Conservation Area Town and Country Planning Act 1990 1. Applicant Name and Address

More information

APPLICATION FOR A STREET TRADING CONSENT

APPLICATION FOR A STREET TRADING CONSENT LOCAL GOVERNMENT (MISCELLANEOUS PROVISIONS) ACT 1982 APPLICATION FOR A STREET TRADING CONSENT 1. APPLICANT DETAILS Full Name: Current Residential Address: Telephone Number: Mobile Number (optional): Email:

More information

applicant's behalf) all correspondence, including the decision letter, will be sent to him/her.

applicant's behalf) all correspondence, including the decision letter, will be sent to him/her. Application for Removal or Variation of a Condition Following Grant of Planning Permission Town and Country Planning Act 1990 Planning (Listed Buildings and Conservation Areas) Act 1990 1. Applicant Name

More information

SUBMITTING JOINT APPLICATIONS FOR A WASTE MANAGEMENT LICENCE A WATER ORDER DISCHARGE CONSENT A PART B PPC PERMIT

SUBMITTING JOINT APPLICATIONS FOR A WASTE MANAGEMENT LICENCE A WATER ORDER DISCHARGE CONSENT A PART B PPC PERMIT SUBMITTING JOINT APPLICATIONS FOR A WASTE MANAGEMENT LICENCE A WATER ORDER DISCHARGE CONSENT A PART B PPC PERMIT September 2014 1 Guidance for Applying for Permissions to Operate a Waste Management Site,

More information

Notification. Form. 1. Details of Data Controller. Page 1 of 6. Office of the Data Protection Commissioner. Name (s) 1.1 Name of Organisation:

Notification. Form. 1. Details of Data Controller. Page 1 of 6. Office of the Data Protection Commissioner. Name (s) 1.1 Name of Organisation: tification Name (s) Form Office of the Data Protection Commissioner 2, Airways House High Street, Sliema SLM 1549 Malta. Tel: (+356) 2328 7100 Fax: (+356) 2328 7198 E-Mail: commissioner.dataprotection@gov.mt

More information

Management Liability Policy Employment practices liability only

Management Liability Policy Employment practices liability only February 2014 edition Management Liability Policy Employment practices liability only Who can use this proposal form This proposal form is only for: UK registered companies, charities or associations with

More information

Sponsorship Form for Temporary Entry

Sponsorship Form for Temporary Entry OFFICE USE ONLY Client no.: Date received: Application no.: May 2016 INZ 1025 Sponsorship Form for Temporary Entry Supporting information for a visitor visa, work visa or student visa application Who can

More information

Application for Landlord Improvement Grant

Application for Landlord Improvement Grant Application for Landlord Improvement Grant What is a Landlord Improvement Grant? A Landlord Improvement Grant is financial help to landlords who let certain dwellings within houses in multiple occupation

More information

Application form for the Early Years Register: childcare provider on domestic or non-domestic premises (not as a childminder) (form EYO)

Application form for the Early Years Register: childcare provider on domestic or non-domestic premises (not as a childminder) (form EYO) Application form for the Early Years Register: childcare provider on domestic or non-domestic premises (not as a childminder) (form EYO) April 2010 We will use a computer to scan this form. Please complete

More information

Tenants and Leaseholders Home Contents Insurance Scheme Application Form

Tenants and Leaseholders Home Contents Insurance Scheme Application Form Tenants and Leaseholders Home Contents Insurance Scheme Application Form (Subject to the terms, exclusions and conditions of the policy, a specimen of which is available on request). Before you fill in

More information

OFFICE USE ONLY. Date lodged. Amount paid $ GLS receipt no. Request number. Finalised by. Date finalised

OFFICE USE ONLY. Date lodged. Amount paid $ GLS receipt no. Request number. Finalised by. Date finalised Change business type Information for applicants 1. This application form is for the licensee of an on-premises licence who applies to change the kind of business or activity carried out on the licensed

More information

Transfer application form

Transfer application form For customers Guaranteed Pension Annuity (tax-free cash) Transfer application form Illustration number Agent number / Agent phone number Agent fax number Agent email address Page 1 of 12 Application checklist

More information

Please print clearly 1 Please complete your name, address and contact details below. Title Surname Full given name(s)

Please print clearly 1 Please complete your name, address and contact details below. Title Surname Full given name(s) Bank of Melbourne Home and Contents Insurance Claim Case no. About this form Only complete this form if your claim is in respect to loss of or damage to Buildings/Contents/Personal Valuables or Legal Liability.

More information

Transit Visa Application

Transit Visa Application OFFICE USE ONLY Client no.: Date received: / / Application no.: November 2014 INZ 1019 Transit Visa Application Who can you include in your application? You can use this form to apply for a visa for a

More information

THIRD SUPPLEMENT TO THE GIBRALTAR GAZETTE No. 4,167 of 7th May, 2015

THIRD SUPPLEMENT TO THE GIBRALTAR GAZETTE No. 4,167 of 7th May, 2015 THIRD SUPPLEMENT TO THE GIBRALTAR GAZETTE No. 4,167 of 7th May, 2015 B. 13/15 Clause PRIVATE TRUST COMPANIES BILL 2015 1. Short title and commencement. 2. Interpretation. 3. Registration of Private Trust

More information

American Express. Business Credit Card Conditions

American Express. Business Credit Card Conditions American Express Business Credit Card Conditions Effective 1st June 2006 Postal Address American Express Australia Limited Cardmember Services GPO Box 1582 Sydney NSW 2001 Lost or Stolen Cards In Australia

More information

Single Machine Application for Permit

Single Machine Application for Permit Single Machine Application for Permit Please read the guidance notes that accompany this application before completing the application form. Please use this form if you wish to apply for a permit to supply,

More information

DATA PROTECTION POLICY. Examples of personal data which TWM may require from clients include the following and for the reasons ascribed to each;

DATA PROTECTION POLICY. Examples of personal data which TWM may require from clients include the following and for the reasons ascribed to each; DATA PROTECTION POLICY Introduction TWM Solicitors maintain certain personal data about individuals for the purposes of satisfying operational and legal obligations. The Data Protection Act sets rules

More information

THE CATTLE TRADERS ACT. Statutory Instrument 43 2. The Cattle Traders Rules. Arrangement of Rules.

THE CATTLE TRADERS ACT. Statutory Instrument 43 2. The Cattle Traders Rules. Arrangement of Rules. Rule THE CATTLE TRADERS ACT. Statutory Instrument 43 2. Arrangement of Rules. 1. Citation. 2. Application for issue or renewal of cattle trader s licence. 3. Licence fees for issue or renewal of cattle

More information

Underwritten by. Home Contents Insurance Application Form

Underwritten by. Home Contents Insurance Application Form Underwritten by Home Contents Insurance Application Form Tenants Home Contents Insurance Scheme Application Form Subject to the terms, exclusions and conditions of the policy, a specimen of which is available

More information

[Sections 158 and 159 and all references in this Act to "specified premises" shall be treated as having ceased to have effect].

[Sections 158 and 159 and all references in this Act to specified premises shall be treated as having ceased to have effect]. The words omitted from sub-s (1) and the whole of sub-s (2) were repealed by the Port of London Act 1982, s 7, Sch2. Constable. See the note to s 119 ante. Note also, as to the appointment of constables

More information

Householder Application for Planning Permission for Works or Extension to a Dwelling Town and Country Planning Act 1990

Householder Application for Planning Permission for Works or Extension to a Dwelling Town and Country Planning Act 1990 Householder Application for Planning Permission for Works or Extension to a Dwelling Town and Country Planning Act 1990 1. Applicant Name and Address Please enter the Applicant Details, including full

More information

Education Services for Overseas Students Act 2000

Education Services for Overseas Students Act 2000 Education Services for Overseas Students Act 2000 Act No. 164 of 2000 as amended This compilation was prepared on 17 December 2008 taking into account amendments up to Act No. 144 of 2008 The text of any

More information

Vendor Questionnaire. Financial and Commercial Services

Vendor Questionnaire. Financial and Commercial Services Vendor Questionnaire Financial and Commercial Services Contents Contents... 2 INTRODUCTION... 3 GENERAL BACKGROUND INFORMATION... 4 FINANCIAL INFORMATION... 5 HEALTH & SAFETY... 6 QUALITY ASSURANCE...

More information

Data Protection Act 1998 Subject Access Request - Application Form

Data Protection Act 1998 Subject Access Request - Application Form Data Protection Act 1998 Subject Access Request - Application Form Subject to certain exemptions, you have a right to information held about you i.e. your personal data. You as the Data Subject have a

More information

Commercial Builders Structural Defects Insurance Proposal (Victoria)

Commercial Builders Structural Defects Insurance Proposal (Victoria) Commercial Builders Structural Defects Insurance Proposal (Victoria) NOTICE TO THE APPLICANT FOR INSURANCE IMPORTANT NOTICES Commercial Builders Structural Defects insurance policies issued by AXIS Specialty

More information

TRANSFER OF EQUITY APPLICATION FORM. This form should be used for Buy to Let and Let to Buy applications only.

TRANSFER OF EQUITY APPLICATION FORM. This form should be used for Buy to Let and Let to Buy applications only. TRANSFER OF EQUITY APPLICATION FORM This form should be used for Buy to Let and Let to Buy applications only. Account Number Please complete Names of Existing Borrowers: Title Mr Mrs Miss Ms Other First

More information

DISABILITY DISCRIMINATION ACT 1995 TAXI PROVISIONS The Taxi Drivers Licences (Carrying of Guide Dogs and Hearing Dogs) Scotland Regulations 2001

DISABILITY DISCRIMINATION ACT 1995 TAXI PROVISIONS The Taxi Drivers Licences (Carrying of Guide Dogs and Hearing Dogs) Scotland Regulations 2001 DRAFT GUIDANCE DISABILITY DISCRIMINATION ACT 1995 TAXI PROVISIONS The Taxi Drivers Licences (Carrying of Guide Dogs and Hearing Dogs) Scotland Regulations 2001 Introduction 1. The Scottish Executive is

More information

THE PRIVATE SECURITY SERVICE BILL (No. VI of 2004) Explanatory Memorandum

THE PRIVATE SECURITY SERVICE BILL (No. VI of 2004) Explanatory Memorandum THE PRIVATE SECURITY SERVICE BILL (No. VI of 2004) Explanatory Memorandum The object of this Bill is to provide for the licensing of private security services, the registration of security guards, the

More information

Product 4 (Detailed Flood Risk) for: Sam Murray (Amey) Site: Land at Kingsnorth Reference: KSL151125 KR79 Date: 30 th November 2015.

Product 4 (Detailed Flood Risk) for: Sam Murray (Amey) Site: Land at Kingsnorth Reference: KSL151125 KR79 Date: 30 th November 2015. Product 4 (Detailed Flood Risk) for: Sam Murray (Amey) Site: Land at Kingsnorth Reference: KSL151125 KR79 Date: 30 th November 2015 Contents Flood Map Confirmation Flood Map Extract Model Output Data Data

More information

If this is a renewal application, please state the date of expiry and any reference number. Quarrying Demolition Contrator Fireworks-display operator

If this is a renewal application, please state the date of expiry and any reference number. Quarrying Demolition Contrator Fireworks-display operator Application for a Storage Licence under the Explosives Regulations 2014 Please read the guidance notes before completing this form. You should not use this form for an application for a licence to store

More information

Application for Digital Radio Multiplex Transmitter apparatus licence(s) Form R058 (In accordance with section 99 of the Radiocommunications Act 1992)

Application for Digital Radio Multiplex Transmitter apparatus licence(s) Form R058 (In accordance with section 99 of the Radiocommunications Act 1992) Application for Digital Radio Multiplex Transmitter apparatus licence(s) Form R058 (In accordance with section 99 of the Radiocommunications Act 1992) Use of form and instructions This form is to be used

More information

REHABILITATION OF OFFENDERS (Criminal Procedure and Evidence Act 2011) GUIDANCE NOTE

REHABILITATION OF OFFENDERS (Criminal Procedure and Evidence Act 2011) GUIDANCE NOTE REHABILITATION OF OFFENDERS (Criminal Procedure and Evidence Act 2011) GUIDANCE NOTE This guidance note provides background information on Part 25 of the Criminal Procedure and Evidence Act 2011 which

More information

PROPOSAL FORM FOR MANAGEMENT LIABILITY AND COMPANY REIMBURSEMENT INSURANCE

PROPOSAL FORM FOR MANAGEMENT LIABILITY AND COMPANY REIMBURSEMENT INSURANCE PROPOSAL FORM FOR MANAGEMENT LIABILITY AND COMPANY REIMBURSEMENT INSURANCE Pursuant to Paragraph 4(1) of Schedule 9 of the Financial Services Act 2013, if you are applying for this Insurance for a purpose

More information

Application for Employment

Application for Employment Application for Employment Thank you for considering a career with us. Please think carefully about the completion of this application form. If you are interested in working with people and helping your

More information

[To All Financial Institutions Exempt from Holding Capital Markets Services Licence]

[To All Financial Institutions Exempt from Holding Capital Markets Services Licence] Circular No.: CMI 01/2011 7 February 2011 [To All Holders of Capital Markets Services Licence] [To All Holders of Financial Advisers Licence] [To All Financial Institutions Exempt from Holding Capital

More information

Application form. Application Checklist. Application process. Eligibility criteria. Energy Saving Scotland Small Business Loans

Application form. Application Checklist. Application process. Eligibility criteria. Energy Saving Scotland Small Business Loans Energy Saving Scotland Small Business Loans ESSSBL0512 Helping Scottish businesses reduce their energy costs Application form Eligibility criteria The scheme is aimed at Scottish businesses that fall within

More information

Application for a Company Licence

Application for a Company Licence Private Security Personnel Licensing Authority For more information visit www.pspla.govt.nz Application for a Company Licence Under the Private Security Personnel and Private Investigators Act 2010 1 What

More information

Application for registration in New Zealand Part B: This form is to be accompanied by Part A [checklist] and all documents required on checklist

Application for registration in New Zealand Part B: This form is to be accompanied by Part A [checklist] and all documents required on checklist Application for registration in New Zealand Part B: This form is to be accompanied by Part A [checklist] and all documents required on checklist REG1 October 2015 For office use only Registration no: PO

More information

NOTIFICATION OF LEAD RISK WORK

NOTIFICATION OF LEAD RISK WORK NOTIFICATION OF LEAD RISK WORK This form is to be used to notify Comcare as required by Part 7.2 of the Work Health and Safety Regulations 2011 (WHS Regulations) in the following circumstances: > If lead

More information

2. Have you ever traded under a different name? YES NO If YES, please advise details:

2. Have you ever traded under a different name? YES NO If YES, please advise details: CONTRACTORS ALL RISKS PROPOSAL FORM Please answer all questions, completing the form in ink using block capitals. The completion and signature of this Proposal does not bind the Proposer or Insurers to

More information

Queensland COAL MINING SAFETY AND HEALTH ACT 1999

Queensland COAL MINING SAFETY AND HEALTH ACT 1999 Queensland COAL MINING SAFETY AND HEALTH ACT 1999 Act No. 39 of 1999 Queensland COAL MINING SAFETY AND HEALTH ACT 1999 TABLE OF PROVISIONS Section Page PART 1 PRELIMINARY Division 1 Introduction 1 Short

More information

Public Health (Wales) Bill

Public Health (Wales) Bill Public Health (Wales) Bill i ACCOMPANYING DOCUMENTS Explanatory Notes and an Explanatory Memorandum are printed separately. Public Health (Wales) Bill [AS INTRODUCED] CONTENTS PART 1 1 Overview OVERVIEW

More information

Charities and Trustee Investment (Scotland) Act 2005

Charities and Trustee Investment (Scotland) Act 2005 Charities and Trustee Investment (Scotland) Act 2005 (asp 10) Section Charities and Trustee Investment (Scotland) Act 2005 2005 asp 10 1 Office of the Scottish Charity Regulator 2 Annual reports CONTENTS

More information

British Council IELTS Prize Application Form for Malaysia

British Council IELTS Prize Application Form for Malaysia FAMILY NAME: NATIONALITY: OTHER NAME: GENDER: Please attach a recent, passport-sized photograph here (Note: the photograph must not be more than 6 months old) FULL POSTAL ADDRESS: HOME TELEPHONE NUMER

More information

NATIONAL NON-DOMESTIC RATES APPLICATION FOR HARDSHIP RELIEF

NATIONAL NON-DOMESTIC RATES APPLICATION FOR HARDSHIP RELIEF NRELIEF NATIONAL NON-DOMESTIC RATES APPLICATION FOR HARDSHIP RELIEF For Enquiries Contact Us via our online form at www.cheshireeast.gov.uk/businessrates EXPLANATORY NOTES Please read these notes (Pages

More information

Insurance Agent Corporate/Partnership Application

Insurance Agent Corporate/Partnership Application Financial Services Commission of Ontario Insurance Agent Corporate/Partnership Application GENERAL INFORMATION AND INSTRUCTIONS New & Renewal Application Fees: Sponsorship Requirement: Sponsorship Changes:

More information

FCU BUSINESS LOANS APPLICATION FORM

FCU BUSINESS LOANS APPLICATION FORM FCU BUSINESS LOANS APPLICATION FORM FAIRshare Credit Union is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority

More information

SUMMARY GUIDE FOR EMPLOYERS ON PREVENTING ILLEGAL WORKING IN THE UK. April 2012

SUMMARY GUIDE FOR EMPLOYERS ON PREVENTING ILLEGAL WORKING IN THE UK. April 2012 SUMMARY GUIDE FOR EMPLOYERS ON PREVENTING ILLEGAL WORKING IN THE UK April 2012 CONTENTS Who should read this guide?...3 Complaints...3 1. Why is preventing illegal working so important?...4 2. What is

More information

IAFT-5 Appeal against an in Country [Asylum/Immigration] Decision Information sheet

IAFT-5 Appeal against an in Country [Asylum/Immigration] Decision Information sheet FIRST-TIER TRIBUNAL IMMIGRATION AND ASYLUM CHAMBER IAFT-5 Appeal against an in Country [Asylum/Immigration] Decision Information sheet Part A Complete this form if you are appealing from inside the United

More information

APPLICATION FOR. License Fee Only. Non- NZTA

APPLICATION FOR. License Fee Only. Non- NZTA C4:08-15 NEW ZEALAND THOROUGHBRED RACING INC PO Box 38386, WMC Telephone: (04) 576 6240 Facsimile: (04) 568 8866 Web: www.nzracing.co.nz Email: licensing@nzracing.co.nz APPLICATION FOR Non- NZTA License

More information

Introducer Important Notice

Introducer Important Notice Introducer Important tice Please provide us with:- 1. This fully completed Application Form; 2. Copy of the Firm s Data Protection Certificate; 3. Proof of Identity & Address for each Director / Partner.

More information

Please note: only original documents accepted

Please note: only original documents accepted HACKNEY CARRIAGE/PRIVATE HIRE DRIVER S LICENCE CHECKLIST Please note: only original documents accepted Applicants Use LSU Use ONLY Initials & Date LO Use ONLY Initials & Date Application form fully completed

More information

Protection for business Motor Fleet Insurance

Protection for business Motor Fleet Insurance Protection for business Motor Fleet Insurance Haulage Factfinder Motor Fleet Insurance Haulage Factfinder The information you provide in this form will be used to assess your motor fleet insurance risk

More information

Partnership Support Form for Residence

Partnership Support Form for Residence OFFICE USE ONLY Client no.: Date received: Application no.: March 2015 INZ 1178 Partnership Support Form for Residence For applications under the Partnership Category of Residence Instructions tes for

More information

Publications code: REG-0812-032. Registering and running a childminding service: what you need to know

Publications code: REG-0812-032. Registering and running a childminding service: what you need to know Publications code: REG-0812-032 Registering and running a childminding service: what you need to know Contents Introduction 1 Section 1: What is childminding? 2 Section 2: Before you apply to register

More information

GOVERNMENT GAZETTE REPUBLIC OF NAMIBIA

GOVERNMENT GAZETTE REPUBLIC OF NAMIBIA No. 3966 Government Gazette 27 December 2007 1 GOVERNMENT GAZETTE OF THE REPUBLIC OF NAMIBIA N$6.40 WINDHOEK - 27 December 2007 No. 3966 CONTENTS GOVERNMENT NOTICE Page No. 232 Promulgation of Environmental

More information

PLEASE READ BEFORE COMPLETING YOUR APPLICATION

PLEASE READ BEFORE COMPLETING YOUR APPLICATION Application to become a Licensed London Private Hire Operator Dear Applicant PLEASE READ BEFORE COMPLETIG OUR APPLICATIO Thank you for applying to become a Licensed London Private Hire Operator. Enclosed

More information

Insurance Agent Corporate/Partnership Application

Insurance Agent Corporate/Partnership Application Financial Services Commission of Ontario Insurance Agent Corporate/Partnership Application General Information and Instructions New and Renewal Application Fees: Fee for each new or renewal licence: Corporation

More information

Happy Days: Application Form (staff)

Happy Days: Application Form (staff) Note: The information given in this application will be held in strictest confidence in keeping with your rights under the Data protection Act 1998 and the Human Rights Act 1998. It will not be disclosed

More information

You must have completed both modules of your PCV Theory test which includes: Hazard Perception Multiple Choice Driver CPC case studies test

You must have completed both modules of your PCV Theory test which includes: Hazard Perception Multiple Choice Driver CPC case studies test Date as download Dear Applicant, Thank you for your enquiry about training to become a bus driver with Yourbus, an Application form and D4 Medical Examination Report is enclosed with this letter. In order

More information

Employment Application

Employment Application Employment Application Please Print Date Home phone ( ) Secondary phone ( ) Social Security Number Present Permanent (If different from above) Employment Desired Position applying for What days and hours

More information

Guidelines on Fit and Proper Criteria for Insurance Undertakings

Guidelines on Fit and Proper Criteria for Insurance Undertakings Guidelines on Fit and Proper Criteria for Insurance Undertakings CHAPTER 1 - PRELIMINARY Introduction and citation 1. (a) These Guidelines on Fit and Proper Criteria for Insurance Undertakings ( Guidelines

More information

Commercial Mortgage Application Form

Commercial Mortgage Application Form Commercial Mortgage Application Form Consultant Name: Telephone number: Email address: Mortgage Details Applicants must be at least 18 years of age. If there are more than two applicants, please request

More information

Housing and Planning Bill

Housing and Planning Bill [AS AMENDED IN PUBLIC BILL COMMITTEE] CONTENTS PART 1 NEW HOMES IN ENGLAND CHAPTER 1 STARTER HOMES 1 Purpose of this Chapter 2 What is a starter home? 3 General duty to promote supply of starter homes

More information

Countryside Stewardship

Countryside Stewardship Countryside Stewardship Land Ownership and Control form Important information about this form please read Use of this form This form is for use where you are applying for Countryside Stewardship (CS) and

More information

SAINT VINCENT AND THE GRENADINES INFORMATION AND COMMUNICATION TECHNOLOGY SERVICES INVESTMENT INCENTIVES ACT, 2007 ARRANGEMENT OF SECTIONS

SAINT VINCENT AND THE GRENADINES INFORMATION AND COMMUNICATION TECHNOLOGY SERVICES INVESTMENT INCENTIVES ACT, 2007 ARRANGEMENT OF SECTIONS SAINT VINCENT AND THE GRENADINES INFORMATION AND COMMUNICATION TECHNOLOGY SERVICES INVESTMENT INCENTIVES ACT, 2007 SECTION 1. Short title and commencement 2. Objective 3. Interpretation ARRANGEMENT OF

More information

Form 47 Application for trainer approval in Responsible management of licensed venues course

Form 47 Application for trainer approval in Responsible management of licensed venues course Form 47 Application for trainer approval in Responsible management of licensed venues course Liquor Act 1992 s. 142B V2 Aug 2013 Office use only Receipt no.... Amount $... Date... Instructions Please complete

More information

Non-Profit Organisations Regulations MONTSERRAT 1

Non-Profit Organisations Regulations MONTSERRAT 1 Non-Profit Organisations Regulations MONTSERRAT 1 M O N T S E R R A T STATUTORY RULES AND ORDERS NO. 24 OF 2010 NON-PROFIT ORGANISATIONS REGULATIONS, 2010 ARRANGEMENT OF REGULATIONS REGULATION PART I 1.

More information

Application for a Scrap Metal Licence

Application for a Scrap Metal Licence Application for a Scrap Metal Licence SECTION 1. TYPE OF APPLICATION (For all applicants) Please indicate the type of licence you are applying for (please tick): A site licence A collector s licence Are

More information