Submit Regularisation Application         
Please only use this form to submit a Regularisation application.

On submitting your application you will be able to print an online acknowledgment and upload plans.
Applicant Name:
Address:
Postcode:  
Telephone:
Email:
Agent Name:  
Address:  
Postcode:  
Telephone:  
Email:  
Location:
Proposal:
No Storeys:
Proposed Use:
Current Use:
Estimated Cost:        £
Fire Precautions:
Date Work Carried Out: DD-MM-YYYY
This notice is given in relation to the building work as described and is submitted in accordance with regulation 21(3). Please check the box below to show your agreement to this statement and enter your name and the date.

Statement:
Name:
Date: DD-MM-YYYY