Loler Request Form


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LOLER Request Form

Please complete the form below and we will get back to you as soon as we can.

How you wish to be addressed when we contact you.

Name of the company if applicable

Telephone number including Area-Code ie: (01279) 123-456 or +44 1279 123-456.

Please give us the location of the machine so we can estimate travel time to site. If you don't want to add the whole address a postcode will do.

Machine Details

If "Other" Selected Above Please Enter the Make Here.


Enter the date that the last LOLER expires on. If it has already run out please enter "Expired"