Street Rename Application

Please do not send any payment with this application.

We will contact you to take payment after we receive your application if your request is valid.

Fields marked with * are required
Details
1. Contact Name:*
2. Contact Email:*
3. Contact Telephone Number:*
Location Details
1. Please provide the existing street name or a location description of the existing street or you can pick on the Google map below
2. Map
  
  Enter address or postcode
3. Existing Street Name or Location of Street:*
4. Town or Village Name:*
Options
1. Please select why this street should be named or renamed
2. Reason*
  
  1. Existing street name is now offensive or inappropriate
  
  2. Duplicate or Similar street name that now causes problems
  
  3. There is no existing official street name
3. I have read the Street Name Choice rules which can be found on the following page
  
  Street Name Choice Information
4. I understand that by checking the declaration box it is classed as my electronic signature and is the legally binding equivalent to my handwritten signature
5. Signature
Please provide three choices for your suggested New Street Name:
Street name details
1. 1st Choice Name:
2. 2nd Choice Name:
3. 3rd Choice Name:
Comments
1. Please give your reasons to support your request:
2. Please provide your reasons as to why you want this street named:
3. Please use the box below to upload any document that will support your request:
4. Documentation:
5. Comments:
6. Privacy statement
  
  Breckland Council is collecting this information, via this form, in order to perform this service or function, and if further information is needed in order to do so, you may be contacted using the details provided.
  
  In performing this service, the Council may share your information with other organisations or departments, but only when it is satisfied that it is necessary to perform a public task, or to exercise its statutory duties to do so.
  
  The Council may also share your personal information for the purposes of the prevention, investigation, detection, or prosecution of criminal offences, but will not share your personal information, or use it for any other purpose, unless provided for by law.
  
  More detailed information about the Council's handling of your personal data can be found in our privacy policy.