Items marked with an asterisk [*] must be completed.
If you require any assistance with the completion of this form, please contact our Customer Services department by email to info@copeland.gov.uk, or phone on 0845 054 8600. When you have completed this form the details will be forwarded to the relevant section of the Council. You will get the opportunity to display and print a copy of the submitted information for your records.
The information you provide on this form will only be used for the purpose for which it has been given and will not be used for any other purposes without your consent. All personal details are collected and processed in agreement with the eight data protection principles of the Data Protection Act 1998 and this information gives you certain rights.