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. Please note: Materials or skip bags can only be placed on the roadside and cannot be placed on a verge or footway. You will need to attach evidence of public liability insurance to the value of £10 million to this form by uploading it from the device you are using (computer, tablet). A charge of £35.00 for the first 5 calendar days (or part thereof) is payable. Following this, a charge of £51.40 per additional 14 days (or part thereof) is payable. We will invoice you by email. No refunds will be made after we have considered the application. A minimum of 5 working days' notice is required. Type of application Type of application * Select the option which describes the type of application you are making. Consent to place materials on the highway Consent to place skip bags on the highway Renewal of licence Applicant details Title Select applicant's title. Mr Mrs Miss Ms Dr Other Other Enter applicant's title if it is not listed above. First name * Enter applicant's first name. Last name * Enter applicant's last name. Business name Enter the name of applicant's business. Address line 1 * Enter first line of applicant's address. Address line 2 Enter second line of applicant's address. Town or city * Enter the town or city of applicant's address. Postcode * Enter the postcode of applicant's address. Phone number * Enter a daytime phone number that we can ring applicant on. This can be a mobile or land line number. Email address * Enter an email address where we can write to applicant. Evidence of public liability insurance to the value of £10 million * Attach a copy of applicant's public liability insurance to the value of £10 million. Consent required Location of deposit of materials or skip bags * Enter full location details of where materials or skip bags will be deposited. Date from * Enter the date consent is required from. Date to * Enter the date consent is required until. Quantity * Enter quantity of materials or skip bags to be deposited. Terms and conditions The works - All works shall be in accordance with the specific requirements issued by WSCC at the time of the resident's application and insofar as the site will be subject to periodic inspection, additional conditions may be imposed during the works. Traffic control - The executor of the works shall provide and erect all necessary warning notices, signs and signals for the satisfactory control of traffic in accordance with Chapter 8 – Traffic Signs Manual 1991, and the Traffic Signs Regulations and General Directions 1994 and any subsequent amendments thereof as directed by the Highway Network Manager. Health and safety and welfare - The executor of the works shall undertake works in accordance with the Health and Safety at Work Act 1974 and all other legislation, Approved Codes of Practice and Guidelines applicable to the works. This shall be done with particular regard to the protection of the public from harm, injury, damage or loss. Disabled and blind persons - All works shall be executed with due regard to the additional particular needs of disabled and blind persons using the highway. Road signs - No existing road sign/line shall be obstructed or rendered less effective due to the execution of works without the approval of the Council and the provision of alternative signing/lining to his requirements. Default - In the event of the works not being to the entire satisfaction of the Council the works shall cease and the original conditions shall be restored forthwith. If necessary, the restoration of works will be carried out by the County Council and the costs shall be recoverable from the person or persons responsible. It is the responsibility of the applicant to consult with the Local Planning Authority to determine whether a planning approval is required for these works. You will need an information board indicating the name and emergency telephone number of the person/company carrying out the work. Declaration I/we hereby undertake to indemnify the West Sussex County Council, its officers, servants and agents against all costs, claims and expenses, damage to property and injury to persons howsoever caused arising directly or indirectly from the depositing of builder’s materials/skip bag(s) or works carried out in connection therewith. I/we hereby certify that I am/we are the owner(s)/deemed owner(s) of the builder’s materials/skip bag(s) and that I/we will comply with the conditions attached. Your full name * Enter your full name to show you agree to the above terms and declaration statements. 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.