06/17 Version 2.0
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Company details
Company name in full
Company number
CS01
In accordance with
Section 853A of the
Companies Act 2006.
Confirmation statement
What this form is for
You may use this form to confirm
that the company has filed up to
date. You must file a confirmation
statement at least once every year.
What this form is NOT for
You cannot use this form to tell us
of changes to the company officers,
people with significant control
(PSC), registered office address,
or single alternative inspection
address (SAIL) information.
For further information, please
refer to our guidance at
www.gov.uk/companieshouse
Other changes
If you need to make any
changes to:
• registered office address
• single alternative inspection
address (SAIL) and company
records
• officer appointments
• information about people with
significant control
You must do this separately
before or at the same time as this
confirmation statement.
Filling in this form
Please complete in typescript or in
bold black capitals.
Check when your confirmation
statement is due
To check your confirmation
statement date:
https//beta.companieshouse.gov.uk
You can make a statement at
any time during the confirmation
period. This will change your next
confirmation date.
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Confirmation date
Please give the confirmation statement date. You must deliver this form within
14 days of this date. Please check your company records for the date of your
confirmation period.
d d
m m
y y y y
Confirmation date
A fee may be payable with this form
Please see ‘How to pay’ on the last page.
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Go online to file this information
www.gov.uk/companieshouse
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Confirmation statement
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I confirm that all information required to be delivered by the company pursuant
to section 853A(1)(a) of the Companies Act 2006 in relation to the confirmation
period ending on the confirmation date above either has been delivered or is
being delivered with this statement.
Societas Europaea
If the form is being filed on behalf
of a Societas Europaea (SE) please
delete ‘director’ and insert details
of which organ of the SE the person
signing has membership.
Person authorised
Under either section 270 or 274 of
the Companies Act 2006.
This form may be signed by:
Director , Secretary, Person authorised , Charity commission receiver and
manager, CIC manager, Judicial factor.
Signature
Signature
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Before you start
You can check your company details for free on our online service:
https://beta.companieshouse.gov.uk
Change to your company information
If you need to make any changes to:
• Part 1 Principal business activities or standard industrial classification (SIC)
• Part 2 Statement of capital
• Part 3 Trading status of shares and exemption from keeping a register of
people with significant control (PSC)
• Part 4 Shareholder information
Use the additional parts of this form to do this.
