This form will take approximately 10 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. We may charge a fee for multiphase portable traffic signals, or for turning off existing signal-controlled junctions or pedestrian crossings while they are being used. Applicant details First name * Enter your first name. Last name * Enter your last name. Email address * Enter an email address where we can write to you. Phone number * Enter a daytime phone number that we can ring you on. This can be a mobile or land line number. Site details PSI Reference Enter the PSI reference. This is for development works only. Site location * Enter the site location. Street name * Enter the street name. Town or city * Enter the town or city. Site co-ordinates * Enter the Eastings and Northings for the site location. Works details Description of works * Enter a description of the works being carried out. Start date * Enter a start date for the work following the format dd/mm/yyyy, for example 01/01/2016. End date * Enter an end date for the work following the format dd/mm/yyyy, for example 01/01/2016. Traffic management * Select the type of traffic management for the works. No carriageway incursion Some carriageway incursion Give and take Priority working Stop & go boards Two way traffic lights Multiway traffic lights Road closure Type of lights Select if you are using 24hr or off peak lights. 24hr lights Off peak lights Night time lights Please ensure you tell us the type of lights you will be using, otherwise we won't be able to process your request. Public and emergency contact details Emergency contact name * Enter a contact name in an emergency. Emergency phone number * Enter an emergency 24-hour phone number. Public queries contact * Enter a contact name for public queries. Public queries phone number * Enter a phone number to be provided to the public for queries. 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.