Community application for new highway scheme

  • This form will take approximately 15 minutes to complete.
  • Please allow yourself enough time to complete this form in one session as there is not an option to save and come back to it later.
  • The questions marked with an asterisk (*) are mandatory and require an answer. You do not have to answer all of the other questions, but it would help us if you do.
  • You may need to attach supporting evidence to this form by uploading it from the device you are using (such as computer, tablet).
  • You should have discussed your proposals with your local county councillor before submitting this form.

Your details

Enter your first name.
Enter your last name.
Enter the position you hold in the community group, if applicable.
Enter an email address where we can write to you.
Enter a daytime phone number that we can ring you on. This can be a mobile or land line number.
Enter another phone number we can reach you on. This can be a mobile or land line number.

Community group details

Please complete this section if you are submitting this as a representative for a community group/organisation/parish or neighbourhood council.

Enter the community group name.
Enter the charity/company number.
Enter the community group address name or number. This could be a flat, house or building name or number.
Enter the first line of the address. This could be the street name.
Enter the second line of the address if you need to. This could be the village name.
Enter the town or city of the postal address.
Enter the postcode, with or without spaces.
Enter the parish/borough/neighbourhood council name.

Application details

Enter a description of issues, needs and/or initiatives and benefits, with evidence to support them.
Enter a description of the proposed works or activity.
Enter details of wider community support for the proposed project, with evidence to support this.

Scheme objectives

Select all that you believe will have a positive impact.





Select all that you believe will have a positive impact.





Select all that you believe will have a positive impact.



Enter details of the likely cost for the implementation of the proposed project.
Enter details of any funding sources you are aware of that may be available for this project.

Supporting evidence

Please upload any further evidence that may support your application.

Upload supporting evidence to support application.

Authorisation

Enter the name of the county councillor as confirmation that they support the application in principle.

Submitting your form

Click the submit button only once.

Please be patient as it will take a few moments to process your form and redirect you to our confirmation page.

 

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