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Mobile Phone Base Station Audit Request Form

Fields marked with * are required.

Your detailsTitle*
Forename*
Surname*
Contact phone number*
Organisation (if applicable)
Flat number and building (if applicable)
House number and street name*
Postal town*
Postcode*
Email*

Data Protection

We will keep your information confidential and will not disclose it to third parties, except where we are required to do so by law or we have obtained your consent in advance. Please see our Data Protection statement for further information.

Ofcom continually aims to inform our work and improve our services. Information you provide may be disclosed to a research agency who may contact you to ask for your views on what we do.

Please untick if you do not want your details disclosed to a research agency

Site DetailsName of Premises / Site*
Type of site*
Site address*
Site postcode*

Additional Information

Has this site been audited in previous years? Yes No Don't know

Location of base station
(If 'other' please provide details in additional comments)
Reason for request and other additional information

Mobile Phone Base Station Audit Request Form

Further information

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