UK Member Data Submission Form

Transcription

1 UK Member Data Submission Form Please complete all sections of this form Please complete all sections of this form To be submitted as early as possible but no later than 28 February (or to accompany a new membership application To be submitted if joining as after early this as date) possible to Chorley but no later Business than and 28 Technology February 2017 Centre, (or to Euxton accompany Lane, Chorley, a new membership Lancs. PR7 6TE application if joining after this date) to Chorley Business and Technology Centre, Euxton Lane, Chorley, Lancs. PR7 6TE Tel: Fax: Mobile: Tel: Fax: Mobile: knewall@recycle-pak.co.uk knewall@recycle-pak.co.uk Website: Website: Section 1 Member s Details Group/Company Name:... Address/Principal place of business: Post Code... Contact Name: Title... Forename... Surname... Tele:... Fax: Job Title:... Company Registration No:... Company s Annual Turnover in Millions... Registered Office Address if Different: Post Code... Contact Name: Title... Forename... Surname... Tele:... Fax: Company s UK Standard Industrial Classification (SIC) code 2007: To obtain your SIC code please the National Statistics Office: classifications.helpdesk@ons.gov.uk, or telephone on The SIC code can also be obtained from Recycle-Pak. Small Producer Registration (tick if appropriate) An allocation method can be used for companies with a turnover below 5 million. Main Activity with regard to packaging: Main Activity Performed (tick one only) Manufacturing of packaging raw material of raw materials into packaging Packing/Filling packaging with products packaging to end users Importing packaging or products Tick any other Activity (tick all that apply) Manufacturing of packaging raw material of raw materials into packaging Packing/Filling packaging with products packaging to end users Importing packaging or products For Recycle-Pak use only (1) Date Received / / (2) Date Registered / / (3) New Member YES/NO (4) NPWD Code Membership Number Recycle Pak Data Form.indd 1 20/11/ :31

2 Section 2 Packaging Obligation Data Please supply Data in Metric Tonnes and for the Previous Calendar Year Notes: 1. Record your final figures on the data form to the nearest whole tonne. 2. Composite packaging should be included according to the predominant material by weight. 3. Where an entry amounts to less than one tonne, it does not need to be recorded separately but should be aggregated with the principal packaging material your business handles. 4. Imports carry a cumulative or rolled up obligation depending on the stage at which they are imported. TABLE 1: Packaging/packaging materials supplied by the Member. Enter the packaging supplied onto the UK market. This will include packaging which is also entered in tables 2a and 2b (exports) and table 3a (imports). Manufacturing TABLE 2a: Packaging/packaging materials directly exported by the Member. Enter the amounts of packaging materials that you exported outside the UK. These tonnages will have already been included in table 1a. Manufacturing TABLE 2b: Packaging/packaging materials supplied by the Member and then exported by a third party. These tonnage s would have already been included in table 1a. Manufacturing Recycle Pak Data Form.indd 2 20/11/ :31

3 TABLE 3a: Packaging and packaging materials you imported into the UK. Enter the amounts of packaging and packaging materials you imported into the UK for the purpose of one of the activities named below. Do not include the same tonnage in more than one activity. TABLE 3b: Transit Packaging around imported goods. Enter all packaging and packaging material around imported goods which you remove at your premises as the end-user. This tonnage must not be entered in any other table. Transit Packaging TABLE 3c: Imported Packaging which is subsequently re-exported. Enter all packaging and packaging material that you import and then export without performing an activity. This tonnage must not be entered in any other table. Transit Packaging *Other (please tick as applicable). Hessian Cork Rubber Ceramics Textiles Other please specify... Use the data in the tables above to calculate your obligation as described in the Regulations and record them in table 4 below. If you would like assistance Recycle-Pak will calculate table 4 on your behalf. Alternatively you can use the self-calculating data sheet supplied by to all members. Small Producer Calculation Only Calculation based on turnover from last available audited accounts.. Turnover factor Predominant Material 30 TABLE 4: Statement of Participant s Obligation. Total Obligation Recycling by Material Paper Glass Aluminium Steel Plastic Wood Recycling TOTAL Recycle Pak Data Form.indd 3 20/11/ :31

4 Section 3 Packaging Data Source & Audits Basis of Submission How did you arrive at this assessment? (Please tick relevant box (es) EA Audits Have any of these agencies visited your premises to conduct a packaging audit? Your own sales records Data suppliers EA No Yes Trade Association Method (Please Specify) SEPA No Yes... NIEA No Yes Others please indicate... NRW No Yes... Date of visit Is the Company a (Please tick appropriate box) Sole Trader Small Producer Group Registration Partnership Individual Company Licensor/Pub Operating Business Section 4 Additional Information Discarded Packaging, Reused Packaging & Composite Packaging You do not have to answer these questions, however it will assist Recycle-Pak as a scheme and its continued registration. Please complete to the nearest metric tonne. TABLE 5a: Discarded/Reused Packaging: Estimated tonnage of packaging materials discarded from your premises and packaging not included because it was reused. Total packaging waste discarded Total packaging waste recycled Reused Packaging Section 5 Recycled Packaging & Consumer Information Could you indicate what steps your organisation is proposing to take to increase the use of recycled packaging waste in the manufacture of packaging, packaging materials or other products or materials. Or any steps your organisation is proposing to take to encourage users or consumers to assist in recovery and recycling of packaging waste Section 6 Declaration A DIRECTOR OF THE COMPANY OR COMPANY SECRETARY MUST SIGN OFF THE DATA FORM, THIS IS A REQUIREMENT BY LAW. I declare that the systems and procedures used to calculate this packaging data return is capable of providing data that is as accurate as reasonably possible as required by the Producer Responsibility Obligations (Packaging Waste Regulations) Furthermore the information in this application and data form is true to the best of my knowledge and belief. Signed on behalf of your company Date Job Title Once completed please keep a copy of this form for your records and retain any relevant returns for at least four years Recycle Pak Data Form.indd 4 20/11/ :31

5 Section 7 Group Registrations Group Registrations Where a group registration please supply names and addresses of the subsidiary companies whether or not their data has been included in your packaging submission. No. of Subsidiary Companies:... NB. This is a requirement by law. Please indicate by ticking the relevant box opposite the company details if the packaging data has or has not been included in your overall obligation for this subsidiary. *Please select the main activity from the following; Manufacturing,, Packing/Filling,, Importing. You may continue on a separate sheet if you have more than 4 subsidiaries. 1. Subsidiary Name and Address No Yes 2. Subsidiary Name and Address No Yes 3. Subsidiary Name and Address No Yes 4. Subsidiary Name and Address No Yes Recycle Pak Data Form.indd 5 20/11/ :31

6 Chorley Business & Technology Centre Euxton Lane, Chorley Lancs PR7 6TE Tel: Fax: Recycle-Pak (Scotland) Ltd Company Registration No Recycle Pak Data Form.indd 6 20/11/ :31