Application form for a H-Bar (keep clear) road marking

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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
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