BACS Form

This form allows you to provide the Wayleaves team with your BACs details.

This document is vital to ensure that any payments are paid directly into your account. Completing this form does not entitle you to a payment. This BACs form must be agreed and completed in full.

Section 1 - Personal Details

1. Wayleaves reference number *

2. Your address details *

Full name *

Address line 1 *

Address line 2 *

Town / City *

Postcode *

Contact number *

E mail *