About this form Under Section 50 of the New Roads and Street Works Act 1991, a licence is needed to lay new or maintain existing apparatus in the public highway. Anyone wishing to carry out roadwork excavations in the highway must apply for and be granted a Section 50 street works licence before work starts. The 'highway' includes the carriageway, footway and verge. This form will ask you to upload the following documents: a plan showing the proposed route of the apparatus proof of New Roads and Street Works Act (NRSWA) accreditation a copy of your insurance certificate Make sure you have these documents available in the required image sizes and formats given below before you start completing the form. How we will use your information Data protection and fair processing statement We will use your information to provide the service requested. We may share your personal data between our services and with partner organisations, such as government bodies and the police. We will do so when it is of benefit to you, or required by law, or to prevent or detect fraud. To find out more, go to thurrock.gov.uk/privacy. Get free internet access at libraries and community hubs. Data protection and fair processing * I have read and understood the data protection and fair processing statement, above Applicant details Your first name or given name * Your last name or family name * Your email address * Your phone number * Correspondence address, including postcode * The licence will be granted to owner of apparatus. In what capacity are you making this application? * Owner of the apparatus Director of the company that owns the apparatus Other Capacity in which you are making this application * Apparatus owner's details Is the apparatus owner an individual or company? * Individual Company Owner's first name or given name * Owner's last name or family name * Company director's first name or given name * Company director's last name or family name * Full registered name of company * Apparatus details Type of apparatus * Description of apparatus * Is the apparatus old or new * Old apparatus New apparatus Does the apparatus owner already have a street works licence for this apparatus? * Yes, the owner has a licence for the apparatus No, the owner does not have a licence for the apparatus You must provide either the licence number or application reference number. Which are you providing? * Licence number Licence application reference number Licence number Licence application reference number Will the apparatus by adopted by a utility company after being installed? * Yes, the apparatus will be adopted by a utility company No, the apparatus will not be adopted by a utility company Utility company name * Date of adoption * Location of works Property number or name * Street name * Town or village * Postcode * Ordnance Survey National Grid reference – northing * Ordnance Survey National Grid reference – easting * Works details Type of works * Length of proposed route * Depth of proposed apparatus * Width of apparatus or duct * Upload a plan showing the proposed route of the apparatus * Upload Files must be less than 10 MB.Allowed file types: jpg jpeg png rtf pdf doc docx odt. Person or company undertaking the works Name of person or company undertaking the works * Address of person or company undertaking the works, including postcode * Phone number of person or company undertaking the works * Email address of person or company undertaking the works * Proof of New Roads and Street Works Act (NRSWA) accreditation must be provided before any work commences on the highway. Upload proof of NRSWA accreditation * Upload Files must be less than 5 MB.Allowed file types: jpg jpeg png rtf pdf doc docx odt. Insurance Name of insurance company * Address of insurance company, including postcode * Insurance company phone number * Insurance policy number * Insurance policy expiry date * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20212022202320242025202620272028202920302031203220332034203520362037203820392040204120422043 Copies of insurance certificates must be provide before any work commences on the highway. Public liability cover must have a minimum value of £10 million. Upload a copy of the insurance certificate * Upload Files must be less than 5 MB.Allowed file types: jpg jpeg png rtf pdf doc docx odt. Declaration You must agree to all the declaration below. * I confirm the information given on this form is correct I acknowledge the works referred to above are to be conducted in accordance with the requirements of the New Road and Street Works Act 1991, along with associated secondary legislation and codes of practice I accept the general conditions detailed in the New Road and Street Works Act 1991, Schedule 3(3) Leave this field blank Submit
