Conrmation statement
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06/17 Version 2.0
Company details
Company name in full
Company number
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
Other changes
If you need to make any
changes to:
registered office address
single alternative inspection
address (SAIL) and company
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:
You can make a statement at
any time during the confirmation
period. This will change your next
confirmation date.
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.
Go online to file this information
Confirmation statement
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.
Before you start
You can check your company details for free on our online service:
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.
06/17 Version 2.0
Confirmation statement
Where to send
You may return this form to any Companies House
address, however for expediency we advise you to
return it to the appropriate address below:
For companies registered in England and Wales:
The Registrar of Companies, Companies House,
Crown Way, Cardiff, Wales, CF14 3UZ.
DX 33050 Cardiff.
For companies registered in Scotland:
The Registrar of Companies, Companies House,
Fourth floor, Edinburgh Quay 2,
139 Fountainbridge, Edinburgh, Scotland, EH3 9FF.
DX ED235 Edinburgh 1
or LP - 4 Edinburgh 2 (Legal Post).
For companies registered in Northern Ireland:
The Registrar of Companies, Companies House,
Second Floor, The Linenhall, 32-38 Linenhall Street,
Belfast, Northern Ireland, BT2 8BG.
DX 481 N.R. Belfast 1.
For further information, please see the guidance notes
on the website at
or email
This form is available in an
alternative format. Please visit the
forms page on the website at
Further information
We may return forms completed incorrectly or
with information missing.
Please make sure you have remembered the
The company name and number match the
information held on the public Register.
You have checked the company information that
we hold.
You have shown any relevant changes made to your
information on the additional parts to this form or
filed the appropriate form before or at the same
time as this confirmation statement.
You have signed the form.
You have enclosed the correct fee if appropriate.
Important information
All information on this form will appear on the
public record.
Presenter information
You do not have to give any contact information, but if
you do it will help Companies House if there is a query
on the form. The contact information you give will be
visible to searchers of the public record.
Contact name
Company name
Post town
This form has been provided free of charge by Companies House.
How to pay
You must include a £40 fee with the first
Confirmation Statement you file each year.
Further Confirmation Statements made in the
same year don’t require a fee.
Make cheques or postal orders payable to ‘Companies