Please 3 tick if applicable Application form The current charge (from November 2012) for a standard H-Bar road marking is £154 (including VAT). The charges for having the other types of marking (with the ‘Keep Clear’ wording) vary, depending on the size of the area for example. If you’re interested in this type of marking, please tell us by ticking the relevant box on the right and we’ll quote you for the work. I do have a legal vehicle crossing point (dropped kerb) in front of my driveway or access I understand that there is a charge for this type of work (unless registered disabled). I am registered disabled and have a valid Blue Badge. Badge number Expiry date I have a Kirklees Passport and I am willing to pay half the installation charge for the marking. Please write your details in the box below and then complete the sections opposite (ticking the relevant boxes). Once your application is complete, please return it to the address below - you don’t need a stamp. Please tell us your Passport number Highways Safety, FREEPOST HF 328, Streetscene and Housing, Flint Street, Fartown, Huddersfield, HD1 6DQ My driveway / access is regularly blocked by vehicles (not occasionally or at certain times of the day) The obstruction is across my driveway / access and not on the opposite side of the road Name Address I do not live within the turning area of a cul-de-sac Postcode Daytime telephone number Signed I am willing to pay the full installation charge for the marking. Date I do not plan to use the marking to park on The access to my property is over 10 metres wide. Please send me a quote for having a H-Bar marking with the words ‘Keep Clear’ in it The access to my property is regularly blocked by queuing traffic. Please send me a quote for having a ‘Keep Clear’ marking for queuing traffic