Permit Refusal Appeal Form

1Your Details 2Enquiry Details

Your Details

Address

Enquiry Details

Please refer to the Terms & Conditions of permit issue prior to making an appeal. If you still feel you have reason to appeal, please continue with your details below.

Please note that prior permit issue does not guarantee the issue of further permits.

1. Vehicle or Trailer details:

Registration Number*

Vehicle type as shown on log book*

Is the appeal in relation to a trailer?

Yes No

4. Your Appeal:

Please enter the reason/s for your appeal. We will endeavor to respond as soon as possible by e- mail or by post. Please be advised that the appeal process may incur further enquiry using information available in the public domain.*

If you experience difficulties using this e-form, please email copies of all documents and photos to streetsceneadmin@flintshire.gov.uk