Consideration for Exemption Order Form

First name optional

Last name optional

UK telephone number optional

Email address

Find the address

Building name or number

Street optional

Town or city

Postcode

Is your address provided the location of the request for Exemption order?

Yes

No

If no tell us the location to be considered for exemption

Tell us why this location should be exempted

Upload pictures optional

Declaration

I confirm that the information I've given on this form is complete and correct