Application reference number

Below you will find a generated reference number that is unique to your application. Please take note of this number, as you will be able to use this number to track your application.

English

Gaeilge

Unique Ref No.

0

1

Applicant Details
2

Site Location
3

Effluent Details
4

Documentation
5

Declaration
6

Confirmation

Apply for a TE FOG Licence

For safe keeping we also have sent your unique reference number to the email address associated with your application.
Please complete the online application by adding required details below for each step of the application process. Alternatively you may download the application form and submit offline via email or post.

Application and Applicant Details

This Application is for a: *

New trade effluent FOG licence

Review of an existing trade effluent FOG licence

If for review, state existing Trade Effluent licence number

Specify reason for review:

Reason for review

Change of Trading Name/ Registered Business Name

Other

If other, provide details

Application Reference Number *

Applicant details

Registered company name (if applicable)

Company registration number (if applicable)

Name of Director/s (if applicable)

Trading Name / Registered Business name (if applicable)

Business Registration number (if applicable)

Name of Business Owner/s (if applicable)

Registered Address *

Eircode

If you are not a registered company/business i.e. a sole trader, provide the applicants true name

Postal Address

Eircode

Where the Applicant is VAT registered, provide the VAT Number

Principle Point of Contact

Name *

Postal Address *

Eircode

Telephone *

Mobile *

Email *

Provide Landlord/Premises Owner if different from Applicant details

Name

Postal Address

Eircode

Telephone

Mobile

Agent details (if applicable)

Registered company name (if applicable)

Company registration number (if applicable)

Trading Name / Registered Business name (if applicable)

Business Registration number (if applicable)

Registered address

Eircode

If the Agent is not a registered company/business, provide the Agents true name

Postal Address

Eircode

Contact name

Telephone

Indicate whether it is the Principle Point of Contact or Agent who should receive future correspondence in relation to the application *

Agent

Principle Point of Contact

Back

Application reference number

0

Application and Applicant Details

Applicant details

Principle Point of Contact

Provide Landlord/Premises Owner if different from Applicant details

Agent details (if applicable)

Customer Care

Resources

Company

Your Water

Your preferences

Social