The DBC Online Partnership
A Leading UK Based Independent Backchecking Service Provider
Copyright © 2010 by
"The DBC Online Partnership"
All Rights reserved
Please enter your name *
E-mail Address: *
What Company are you working for? *
What is your Job Number or Reference? *
What is the Postcode Area you are telling us about? *
Please tell us about the item(s) you are delivering *
If you have a scanned image of the item(s) please upload them here
When did you start this delivery? * Select Date
When did you finish this delivery? * Select Date
Please list each road you delivered to on a different line and put missed properties in brackets. e.g. Smith Street (21,2) *
Do you want give us any other information?
Verification Code:
Enter Verification Code: *
* Required
Distributors working for companies we check for may send their road lists to us by filling in this form
If you find you are unable to send data to us using this form, please telephone us on 020 8408 0153 for further instructions.
Please complete all parts of this form before you send it to us.
You will receive a confirmation e-mail from us. If you fail to receive such an email from us within 10 minutes, you may have made a mistake and therefore you form will have been disregarded. We suggest you check with us as soon as possible if this situation arises.