Use this form to submit a proposal to Amber Valley Borough Council.
Your proposal should conform to our Council naming and numbering guidelines (view policy) and you will need to attach a plan showing the entrance locations of the new addresses. Following the submission of the form we will send an invoice with details for making a payment (view charges).
* = Mandatory Field
If you require assistance contact: 01773 841537 or email firstname.lastname@example.org
Select the type of proposal you wish to make from the drop-down box below