Application for skip companies to join the skip register
Please complete this form and return it to the address below. Guidance notes are provided where appropriate.
Name of company
Approximate number of skips for hire
Operating address
Telephone number
Fax number
E-mail address
Administration address
Telephone number
Fax number
E-mail address
Public liability insurance certificate
Name of insurance company
Policy number
Renewal date
For guidance completing the form or further copies of the form please see www.salford.gov.uk/skips or contact
us at the address below.
Highway Services
Swinton Hall Road, Swinton, Salford M27 4HH
T: 0161-603 4000
Ref: S200035.1
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I have read and agree to comply with the conditions
of permission
Signed
Print name
Date
Please advise this office should there be a change to operating or administrative address
Please send this form to the address below (or e-mail if provided) together with any attachments indicated
Attachments required
 a photocopy of your public liability insurance certificate. A minimum of £5 million is required in
respect of any one incident to cover liability against all third party risks.
For guidance completing the form or further copies of the form please see www.salford.gov.uk/skips or contact
us at the address below.
Highway Services
Swinton Hall Road, Swinton, Salford M27 4HH
T: 0161-603 4000
Ref: S200035.1
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