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. You can attach a plan to this form by uploading it from the device you are using (such as computer, tablet). Details of licensee Title Select your title. Mr Mrs Miss Ms Dr Other Other Enter your title if it is not listed above. 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. Alternative phone number Enter another phone number we can reach you on. This can be a mobile or land line number. Is the proposed licensee the landowner or occupier? * Select an option below. Landowner Occupier Address of the property adjoining the highway House name/number Enter the address name or number. This could a flat, house or building name or number. Address line 1 Enter the first line of the address. This could be the street name. Address line 2 Enter the second line of the address if you need to. This could be the village name. Town/city Enter the town or city of the postal address. Postcode Enter the postcode, with or without spaces. Planting details Name of the street or road Enter the name of the street or road in which the planting scheme is to be carried out. Are the shrubs/plants/grass already at the location or are they to be planted at a later date? Select an option below. Already at the location Will be planted at a later date Shrubs/plants/grass to be planted or already planted Enter details of what you wish to plant. Date the planting will be completed Enter the date using numbers following the format dd/mm/yyyy, for example 01/12/1980. Maximum depth of holes to be dug Enter the maximum depth. Attach a plan or drawing Upload a plan/drawing showing the precise location of the proposed planting scheme and possible sight lines which have to be preserved. The licensee shall indemnify the Highway Authority against any claim in respect of injury, damage or loss arising out of the planting or presence in the highway of shrubs, plants or grass to which the licence relates. * Tick to confirm you agree. 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.