Apply for a mobile (temporary) vehicle activated sign (VAS)
Read the accompanying guidance document before completing this form.
We will not begin to process your application until we have received the non-refundable £343.40 fee and a site location plan.
We may turn down applications if the proposed site is considered potentially hazardous. The fee remains non-refundable in these circumstances.
Allow at least 10 working days for us to process your application – we will aim to contact you within that time.
If you need assistance or have any queries about the form, please call the Tech Support team on 01454 865859. 
Please type or print clearly in black ink

Applicant details 
Full name:
Email address: 
Phone number:
Organisation name (if applicable): 

Organisation address (if applicable): 

Your position in the organisation (if applicable): 

Location of proposed item(s)
Indicate where the VAS is to be placed.
Footway: 
Verge: 
Other – please specify: 
Describe the exact address and location of the site: 

A plan showing the proposed location of the VAS must also be submitted, along with an up-to-date Street View image or photograph. A precise location for the sign(s) can also be generated via the what3words app.

Description of proposed VAS to be placed in the highway
Describe the apparatus, along with the proposed method of mounting the SLR or SID unit, including the direction it is proposed to face.

Please include any drawings, specifications or quotations already obtained from suppliers.
Insurance
You must have a suitable level of public liability insurance to cover this activity. The minimum required is £10m. Please provide details of your policy. 
Name on policy: 
Insurance company: 
Policy number: 
Period of cover:
Amount of cover (£m): 

Additional details
Provide any additional information relevant to your application. Please attach any additional documents or plans if required. 

Declaration and payment
Please sign the declaration below
I am aware of the provisions of the Road Traffic Act 1984. 
I have read the guidance document that accompanies this form and will not occupy the highway until permission is given and licence agreement signed.
The details contained in the application form and any attached documentation are correct to the best of my knowledge and belief. 

Signed: 
Print full name: 
Position: 
Date: 

Return your fully completed form, together with any requested supporting information, by: 
email to: TechSupportStreetcareBMR@southglos.gov.uk
post to: South Gloucestershire Council, Department for Place, Streetcare & Transport Services (Design and Operations), PO Box 1954, Bristol BS37 0DD
When you submit your application, you must pay a non-refundable application fee of £343.40. 

How to pay
Visit our website at www.southglos.gov.uk to pay using your debit or credit card. Select ‘Pay’ then ‘Pay online’. Then select ‘Other / General invoices’, select ‘Other Payments’ then ‘Design & Operations’ and finally ‘Vehicle Activated Sign (VAS)’.