Form 2 Building Safety Levy additional information requirement form

The Building Safety Act 2022

The Building safety Levy (England) Regulations 2025

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Building safety levy additional information form 2

1. Application details

Applicant or Agent name (Liable person):

Company number (if applicable):

Reference number:

Site address

Address line 1

Address line 2

Town or city

Postcode

Best daytime contact number

Email address

Confirm Email address

Description of development:

2. Exemptions

Is the applicant an exempt (a non-profit registered provider of social housing):

Yes No

Please provide the name of the non-profit registered provider of social housing:

Is the development any of the following

Yes No

Social housing
Supported housing
School accommodation
Accommodation for domestic abuse victims
Hospitals
Children's homes and residential family centres
Hotels and hostels
Monasteries, nunneries and similar establishments
Care homes and hospices
Secure residential accommodation (for example prisons)
Almshouses
Temporary accommodation for homeless people
Ministry of Defence or Crown properties

3. Development information

Is there a planning application

Yes No

Please include reference number:

Is this a major residential development (10 or more dwellings or more than 30 bedspaces)?

Yes No

Please provide the number of dwellings and/or bedspaces:

Are there any plots which are affordable housing?

Yes No

Please provide the number of affordable housing plots:

Is this previously developed land:

Yes No

4. Floor information

Number of social housing:

Number of private housing:

Social housing GIA (m2):

Private housing GIA (m2):

Communal area GIA (m2):

5. Full plans

Have you submitted full plans and/or any other supporting evidence alongside this form:

Yes No

6. Declaration

I/we confirm that the details given are correct.

Name

Date:

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Form 2 Building Safety Levy additional information requirement form

About your data

1. Application details

2. Exemptions

3. Development information

4. Floor information

5. Full plans

6. Declaration

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