Bolsover District Council

Scrap Metal Dealers Act 1964

For a pdf version of this form including notes for your guidance, please click here.

Application for registration as a scrap metal dealer

Full name *

Address *

Usual place of residence *

Registered office address

The place intended to be occupied as a scrap metal store:

If no place is intended to be occupied as a scrap metal store, give details of any place intended to be occupied wholly or partly for the business of a scrap metal dealer:

If you intend to carry on business in partnership with another person please give the full name of that other person:

Place of residence of each member of the partnership:

Registered or principle office of each other member of the partnership if that partner is a company:

Do you carry on or propose to carry on the business as an itinerant collector? * Yes No

Are you registered with the Environment Agency as a controlled waste carrier? * Yes No

I declare that the information given above is true and correct, and apply for registration with Bolsover District Council as a Scrap Metal Dealer

All personal information provided to Bolsover District Council will be held and treated in confidence in accordance with the Data protection Act 1998. It will only be used for the purpose for which it was given.

Additional Information