Fillable Petrol-storage-certificate-application-form Application for a Petroleum Storage Certificate

Fill Online, Printable, Fillable, Blank Petrol-storage-certificate-application-form Application for a Petroleum Storage Certificate Form

Use Fill to complete blank online LEICESTERSHIRE COUNTY COUNCIL pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Petrol-storage-certificate-application-form Application for a Petroleum Storage Certificate

On average this form takes 14 minutes to complete

The Petrol-storage-certificate-application-form Application for a Petroleum Storage Certificate form is 2 pages long and contains:

  • 0 signatures
  • 14 check-boxes
  • 49 other fields

Country of origin: UK
File type: PDF

Use our library of forms to quickly fill and sign your Leicestershire County Council forms online.

BROWSE LEICESTERSHIRE COUNTY COUNCIL FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
a
Trading Standards Service
Application for a Petroleum Storage Certificate
(in accordance with the Petroleum (Consolidation) Regulations 2014)
QD153
We shall use this information to process your application for a Petroleum Storage Licence. The data collected is in accordance with current data
protection legislation, and will be used only for the purpose outlined in this form. For further information on how this data will be processed
please see the Fair Processing Notice on our website at www.leicestershire.gov.uk/about-the-council/data-protection
QD153-Petroleum Storage Certificate Application Form.docx Page 1 of 2 V1-30/01/19
Please note: To maintain the integrity of the data, we request returned electronic versions of this form to be
submitted as a PDF document
Please provide the following information.
1. The application is for:
[tick the box that applies]
New Storage Certificate Renewal Storage Certificate
2. Enter Site Address
[including Postcode]
3. Enter Date you want the certificate to come into force
4. Tank Information [N.B. Please provide all details of all fuel storage tanks].
Tanks in which the Petroleum Enforcing Authority is required to permit petroleum to be stored:
Tank
Compartment
(Split compartment tanks)
Maximum Working
Capacity
Fuel Currently Stored
QD153-Petroleum Storage Certificate Application Form.docx Page 2 of 2 V1-30/01/19
5. Fees: please specify the initial period for which you intend to pay the fee (annual periods only)
Please note: Paying for more than one year now will reduce the administrative burden on your business
and enable you to purchase at the current year's fee rate. The Regulations are subject to review, however,
and the inclusion of fees could be changed.
Please indicate the number of years for which you would like to pay the fee in the table below: [tick years required]
1 Year 2 Years 3 Years 4 Years 5 Years
6 Years 7 Years 8 Years 9 Years 10 Years
6. Keeper of Petroleum details
Name of Keeper
Registered Address
[if limited company]
Main Contact Name
Telephone Mobile No
Email Address
7. Acknowledgement
Please advise if the PEA may correspond with you electronically [tick one box] Yes No
8. Please provide any additional information you consider relevant below:-
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Petrol-storage-certificate-application-form Application for a Petroleum Storage Certificate

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 7 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document