Apply for access lines

There is a charge of £229.01 for this application.

You will need to have your card details ready as payment will be required when submitting this form.

Please tell us the exact location of where the access line is required: *

Your contact details

Title: *

First name: *

Surname: *

House name/number:

Postcode: *

Phone number:

If we need to phone you our number will show as withheld.

Email address:

Please note that we may use your email address for future correspondence.

Please enter a valid email address or leave blank if you do not have an email address

Payment

There is a non refundable charge of £220.20 for this application unless your application is refused.

Please Note
By clicking on submit button at the end of this form you will be taken to a secure card payments page hosted by Torbay Council. Torbay Council will appear on your debit/credit card statement.

What cards can I pay with?
Visa, Mastercard, Delta and Visa Electron.

Security Information
We use a secure payment system with Secure Socket Layer (SSL) technology. All of your personal and card details are protected using 128 bit encryption, when transmitted over the Internet. Your card details are stored on a server behind a secure firewall. Only authorised personnel may access this information.

Card Security/Verification Code
The card security/verification code for your Visa or MasterCard card is a three-digit number on the back of your credit card.

Data Protection

The information you have provided on this form will be used to deal your request by the relevant department. We may pass your details on to contracted third party service providers. We will store a copy of your completed request as a backup for 12 months.

If you would like to know more about how we use your information and how you can exercise your information rights please see our privacy notice.

Please tick to confirm you accept these conditions.