Street light attachments request

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Form for a licence to attach things to our street lights

Complete this form for a licence to attach things to street lights in Surrey. There is currently no charge for this licence. Most applications will take up to 28 days to process. The application is a three stage process:-

1) Extra documents and or certificates - we will tell you after you submit this form what documents or evidence we need from you

2) Engineers assessment - our engineers will assess that everything will be safe

3) License issued

Your consent to use your data to process this application

Please select the following box to confirm that you are happy for us to use your data to process this application in line with our privacy notice. *

Yes I understand and agree.

Applicant name and contact details

Title *

First Name *

Surname *

Email *

Address *

Daytime telephone number

Contractor name and contact details

Contractor name *

We need to know who will attach the item/s to the street lights

Contractor email

Contractor address *

Contractor telephone number

Emergency mobile number *

We need an emergency contact. This must be a 24/7 number.

Location details

You can submit a single application to cover multiple locations within the same District or Borough. For locations in a different District or Borough, please submit a separate application.

The location is in what borough or district? *

Please provide a summary of the location that can be printed on the licence. Once you submit your application, we will send you a form where you can provide a detailed location for each street light. Please provide as much detail there as possible, to avoid the application being rejected.

Location summary (a summary of where you will be attaching items, e.g. a street and town name or "various roads across XX borough"). *

Please provide a summary location. You will be asked for details later.

Details about what you would like to attach to the street light/s

What date do you want the licence to start (including installation time)? *

What date do you want the licence to end (including take down time)? *

What are you attaching to the street lights *

Description of works *

What are you going to do, what are you attaching.

How will you be fixing the item/s to the street lights? *

Will you be using an electrical connection? *

If yes, please provide details of the electrical connection/s

Will you be using CCTV? *

If yes, please confirm your ICO Registration number.

Will you be displaying/advertising a message (e.g. a sign or banner)? *

If yes, please state the message you intend to display (and provide any relevant details)?

Please select the box to confirm that you have £10million public liability insurance *

(you will be asked for evidence of this later)

We may ask for further information if we feel that it is necessary (for example contractor competency certificates, highway electrical academy registration). *

Yes, I understand, and the information I have provided in this application is accurate to the best of my belief.

If you have completed all the fields marked *, then please click "Submit".

Updated: 24 Sep 2023
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