Skip Licence Application

Document Sample
Skip Licence Application Powered By Docstoc
					 Transport for London
 Surface Transport
 Skip Licence Application
  Please Note: This application applies to Red Routes only. If you are unsure whether the
   location is on the Transport for London Road Network (TLRN), please click HERE, or
   alternatively please visit http://www.tfl.gov.uk/roadusers/finesandregulations/953.aspx
  If you require further clarification, please contact us via telephone or email using
                                  the details provided below.
                Once completed, please submit your application to the relevant office:

North London - Amey and TfL
North Licensing Team
8th Floor Merit House,
Edgware Road,
Colindale
London
NW9

Tel:    0845 365 3100
Fax:    0845 365 3101
Email: northlicensing@tfl.gov.uk

RESPONSIBLE FOR:
Hounslow, Ealing, Hillingdon, Brent, Harrow, Barnet, Enfield, Haringey, Waltham, Forest, Redbridge,
Newham, Barking and Dagenham, Havering (Plus A40 in Westminster and Kensington and Chelsea),
Hammersmith and Fulham

Central London - Ringway Jacobs and TfL
Central Licensing Team
Fifth Floor, Harling House,
47-51 Great Suffolk Street,
Southwark
London
SE1 0BS

Tel:    020 7960 4883 / 4885 / 4887
Fax:    020 7960 4051
Email: centrallicensing@tfl.gov.uk

RESPONSIBLE FOR:
Camden, Islington, Hackney, Tower Hamlets, City of London, Westminster, Kensington and Chelsea,
Wandsworth, Lambeth, Southwark


South London – Enterprise Mouchel and TfL
South Licensing Team
97-99 Beddington Lane
Croydon
Surrey
CRO 4TD

Tel:    020 8665 3550
Fax:    020 8665 3601
Email: southlicensing@tfl.gov.uk

RESPONSIBLE FOR:
Richmond upon Thames, Kingston upon Thames, Merton, Sutton, Croydon, Bromley, Lewisham,
Greenwich, Bexley

 SQA-8008 v14.0
Skip Licence Application


Note: Please complete form in BLOCK CAPITALS

 Skip Company Information (Licensee):
 Please Note: Applications will be accepted from Skip Companies only.


 Company Name:_____________                                                                           _____
 Name:______                                                                _____________________
 Address: _____                                                                 ___________________
 __________                                                                 _____________________
 ____                                                              ___________________________
 Postcode: ____                                                                 ___________________
 E-Mail: ____________                                                                     ____________
 Tel: ______________________________                        Fax: ___________________________
 24 Hour Emergency Contact:
 Name:____________________________                          Tel:            _____________________


 Skip Details:
 Please Note: Skips are permitted within bays only and must not remain on the network outside the hours of 10am and
 4pm.
 Property No. / Name: _____________                                                                           _
 Street:_____________                                                                                         _
 Postcode:_____________                                                                                       _
 Skip Dimensions: W) ____            ______ H)                     _ L)             _____
 Start Date:_____________                               End Date:____                           _________
 Duration of Licence (Delete as applicable): 14 Days / 28 Days
 Details of Works / Reason for Skip: ____________                                                             _


 Hirer Information:
 Company / Resident Name: ______________________________________________
 Name: __________________________________                               ________________________
 Address: _____________________________________________________________
 _____________________________________________________________________
 _____________________________________________________________________
 Postcode: ________________________________________________                                               _
 Tel: ____________________                     __           Fax: __________          _______________
 24 Hour Emergency Contact:
 Name:___________________________                          Tel: ____________________________


SQA-8008 v14.0
Skip Licence Application

 Details of Skip Company’s Public Liability Insurance cover:

 Insurer: ___________________________________                                                       ____________
 Policy cover: ____________                                                       _______________________
 Cover (£): ________________________________________                                                       _______
 Please supply copies of Insurance Certificate(s)


 Please Note: The licensee must provide evidence proving they hold a minimum level of Public Liability insurance cover
 not less than £5 million for any one claim. Please ensure that period of cover is indicated on any documentation
 provided.


              SKIP LICENCE FEE: Cheques to be made payable to Transport for London
 Each application must include a cheque for the relevant sum (Please refer to table below). This fee covers a
 minimum of one pre-site inspection, one post site inspection and all administrative costs. Please note that no
                        deposit is payable and that the licence fee is non-refundable.

 If extension of a licence is required please notify TfL no less than 7 days prior to expiry of the licence.
     Transport for London aim to process Skip Licence Applications within 30 days.

               Licence Type                          Period of Licence                             Charges
                   Skip                                    14 Days                                  £40.00
               Skip Renewal                                14 Days                                  £25.00
                   Skip                                    28 Days                                  £65.00
               Skip Renewal                                28 Days                                  £45.00

 Declaration:

 I hereby confirm that I have read and agree to the attached conditions and that the details
 given above are correct to the best of my knowledge.

 Signed: ____________________ Print Name: ____________________ Date: _______                                        __


 Document checklist:
 Please ensure that all requested information and documentation is included with this application. In cases where
 information or documentation is incomplete, applications will be returned unprocessed.

             Copy of Public Liability insurance    [__]
             Proposed Start and End dates          [__]
             Skip Licence Fee                       [__]
             Completed and Signed Application Form [__]


  IMPORTANT - PLEASE READ:

  Application to use a Skip on the TLRN does not constitute permission to commence works. No Skip may be
  deposited until consent has been granted and the licence has been received.

  If this application relates to emergency works, please contact us directly.

Problems completing this form? Please call our team




SQA-8008 v14.0

				
DOCUMENT INFO