The completion of this application form places legal obligations upon the Permit Holder.  Breach of these legal obligations may lead to prosecution.  It is the Permit Holders responsibility to submit the correct information for the application to be processed.

Incorrect information will invalidate the Permit.  D&S IFCA must be notified in writing if there are any changes to the information submitted on this application form.

In order to complete this application you need a credit or debit card.  For more information about this form contact D&S IFCA by email office@devonandsevernifca.gov.uk or telephone 01803 854648.

* Must be completed including Not Applicable if appropriate.