Cover sheet for response to an Ofcom consultation
	BASIC DETAILS	
	Consultation title:        
	To (Ofcom contact):    
	Name of respondent: 
	Representing (self or organisation/s):  
	Address (if not received by email):	
	
CONFIDENTIALITY 

What do you want Ofcom to keep confidential?  

Nothing	                                    Name/contact details/job title             

	Whole response                                 Organisation

	Part of the response                           If there is no separate annex, which parts?
	
	If you want part of your response, your name or your organisation to be confidential, can Ofcom still publish a reference to the contents of your response (including, for any confidential parts, a general summary that does not disclose the specific information or enable you to be identified)?	
	
DECLARATION
	I confirm that the correspondence supplied with this cover sheet is a formal consultation response. It can be published in full on Ofcom’s website, unless otherwise specified on this cover sheet, and I authorise Ofcom to make use of the information in this response to meet its legal requirements. If I have sent my response by email, Ofcom can disregard any standard e-mail text about not disclosing email contents and attachments.

Ofcom seeks to publish responses on receipt. If your response is
non-confidential (in whole or in part), and you would prefer us to 
publish your response only once the consultation has ended, please tick here.
	
Name 					Signed (if hard copy)