Transfer Note



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number of sacks, drums weight) 8 yard skip Identify the correct container size with adequate description Transferor – current holder of the waste Name Mr. Builder Address 123 Building Street Postcode OO12 34TT Telephone Email builder builder.com Signature To be signed upon collection 01000 000 000 Transferee – person collecting the waste Name Mr. Waste Skip Address 123 Waste Road Postcode AA12 34BB Telephone Email waste waste.com Signature To be signed upon collection 01000 000 000 Which of the following is the transferee – (please tick appropriate box) Local Authority To be added Holder of a waste management Licence or permit number EA WML 803123 licence or permit Issued by Environment Agency Exempt from waste management licence or permit Registered waste carrier Exempt from requirement to register Reason: (exemption number) Registration number ACE/103593 Reason: Waste contractor should hold this information All licence details can be checked via Environment Agency website and by asking the waste contractor, but both the carrier licence and waste management licence must be included in the WTN Address of place of transfer / collection point Date of insert correct date Time of transfer transfer Name and address of broker who arranged the transfer (if applicable) Broker details if using one insert correct time.




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