Streetworks extension request form

Complete this form to request an extension to your existing street works license.

Data protection

We will use this application form and the other information you give us, including any personal information in our database for statistical purposes.

We will always process your information in accordance with the law. For more information on the basis on which we process, use and store your information, please refer to the council’s privacy policy

Name

Licence number

Number of months you would like to extend the license for

If you’re applying for a container extension, please provide the number of weeks instead.

Please confirm your extension fee

See chart

Company name

Email address

Telephone number

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Streetworks extension request form

Data protection