Nominate a building or site with wider historical associations for a blue plaque

While preparing your application, please refer to the guidance notes - these will help you prepare your application and provide as much information as possible to the blue plaque advisory panel to aid your submission. These notes also provide further information on the background to the scheme, and the blue plaque process.

This form is available in Welsh - click on 'Cymraeg' in the top right corner of your screen.

Swansea Council is the data controller for the personal information you provide on this form. Your information will be used in the exercise of our official authority and will not be used for any other purpose. We will not share your data with third parties unless we are required or permitted to do so by law.

Data protection law describes the legal basis for our processing your data as necessary for the performance of a public task. For further information about how Swansea Council uses your personal data, including your rights as a data subject, please see our corporate privacy notice.
Your details
1. First name*
2. Surname*
3. House name / number*
4. Street name*
5. Area (optional)
6. City*
7. Postcode*
8. Email*
9. Telephone*
10. Organisation (if representing one) (optional)
11. Position in that organisation (optional)
12. Relationship with or interest in the subject being proposed*
Details of proposed blue plaque
1. A building is eligible for nomination for a Blue Plaque if;
  - a historical event of particular importance occurred there, or
  - the building or site had an important historical significance that is not obvious from its present appearance, use or any existing commemoration
2. House name / number*
3. Street name*
4. Area (optional)
5. City*
6. Postcode*
7. Is this your property?*
  
  Yes
  
  No
8. If you are not the owner of the property where the plaque is proposed to be located, have you obtained the agreement and support of the owner?
  
  Yes
  
  No
9. Please provide evidence of this (you can upload a copy of an email or other correspondence either as a file or an image). Please ask the owner for consent to share this beforehand.
10. Please explain why you believe this building or site deserves a plaque and how it meets the selection criteria (Max 3000 characters)*
11. Please confirm that, as far as you are aware, this is the original building or site with which the event or association is linked*
12. Are you aware that the building has undergone any large-scale works since the association you wish to commemorate?*
  
  Yes
  
  No
13. If yes, please specify
14. Are you aware that the building has been renumbered or re-named?*
  
  Yes
  
  No
15. If yes, please specify
16. Your suggested wording for the plaque. Please refer to the other council blue plaques if necessary for style guidance.*
17. Please add any references or links to other information that you think will help us in our research and decision making (optional)
18. Please supply any additional documents that will support your application.
19. Choose file 1 (optional)
20. Choose file 2 (optional)
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Nominate a building or site with wider historical associations for a blue plaque

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