1.           Did you raise the matter that is the subject of your representation with the LPA earlier in the process of preparation of the DPD?                           *YES/NO

               If yes,            at the Issues/Alternative Options stage               *YES/NO
                     at Preferred Options stage                                            *YES/NO

If no, can you briefly explain why you did not do so:

……………………………………………………………………………………

2. Do you consider the DPD is sound or unsound?

*SOUND / UNSOUND

If you consider the DPD is unsound, please specify the soundness test number

Soundness Test Number ……………..

NB. Please see the attached list of tests of soundness

3. Which part of the DPD do your representations relate to?

Policy………/Page No………..

4. If you have not already done so, please give details of what precise changes you consider are necessary to make the DPD sound, and why this change will make the DPD sound, having regard to the test of soundness your representation relates to:

………………………………………………………………………………………

5. Can your representation be considered by written representation or do you consider it necessary to attend the examination?

*WRITTEN REPRESENTATIONS / ATTEND EXAMINATION

            If you wish to attend the Examination, please outline why you consider this is      necessary:
            ………………………………………………………………………………………

            ………………………………………………………………………………………

………………………………………………………………………………………

………………………………………………………………………………………
Please note that the Inspector will determine the most appropriate process to adopt to hear those who attend the examination

*Delete as appropriate

Signature: ………………………………………….. Date:……………………..

Please return the completed form to:

[insert contact details]