SIA LDN Request – ABM Nucleus UK

Before completing this form you should have visited the "Business Services" at the SIA licensing site.

Licence Dispensation Notice (LDN) Request

This form MUST be completed fully before submission.

Submitting Incorrect or Misleading information will result in its cancellation.

Full Name

Your Email address:

Job Title

Your Work Site

Licence applied for:

Application Number

Application Status

YOU MUST upload a screenshot / picture from your account showing Your Name | Your Application Number and your Application Status.

Screenshot upload here

The statements below must be confirmed before submitting this form.

I am the "applicant in progress" for this sector; and, I confirm that I hold an active licence when submitting this application; I have not been refused a previous application for a licence; and my previous licence was not suspended or revoked?

Confirmed

I have completed the checks necessary to confirm that this application meets the legal threshold for licence dispensation. I agree that this completed form can be used as my digital signature of confirmation that the information submitted is correct and true.

Confirmed