Application Form Application for Appliance Exemption under the Clean Air Act Complete the application form below to apply for appliance exemption under the Clean Air Act. Contact Name Full Company Name Company AddressPostcode Telephone Fax (optional) Mobile (optional) Email Website (optional) VAT Number (optional)Complete the form as necessary below including as much information as you can. If you need more space, please contact us seperately or use the comments box below.Section Break1. Name/Range 1. Model Number 1. Nominal Rating (kW) 1. Fuels which you wish the appliance to be exempt when burning 2. Name/Range 2. Model Number 2. Nominal Rating (kW) 2. Fuels which you wish the appliance to be exempt when burning 3. Name/Range 3. Model Number 3. Nominal Rating (kW) 3. Fuels which you wish the appliance to be exempt when burning 4. Name/Range 4. Model Number 4. Nominal Rating (kW) 4. Fuels which you wish the appliance to be exempt when burning Please indicate to which countries you wish to apply for exemption:Countries England Scotland Wales Northern Ireland Select AllTo ensure your application is processed as quickly as possible, please provide the following information/documents and indicate how you will provide them to us. You may upload documents online, send by email or put paper documents in the post. Please indicate here how you will send the documents. Those selected as being sent online will be requested once you press the [Submit] button. Technical drawings of the appliance(s) (See Note 1) Online Email Post None Manuals (installation, operation, maintenance) (See Note 1) Online Email Post None Appliance CE Label information (Image or information) Online Email Post None Test reports including particulate emissions tests (See Note 2) Online Email Post None Accreditation certificates if test reports submitted (See Note 3) Online Email Post None Pictures and/or brochures of the appliance Online Email Post None Note 1: These are required Note 2: Test report(s) for the appliance or range of appliances (or identical appliance(s)) required before completion of application. Note 3: These are required if test reports submittedOptional: Please leave any additional comments in the box below.CommentsI consent to my personal information being processed for the purposes of applying for appliance exemption and any relevant ongoing correspondence that is required related to the status of my appliance. Please read our Terms & Conditions. Please tick box to confirm your consent Please tick box to confirm your consent
