A landowner's statement, pursuant to section 31(6) of the Highways Act 1980, evidencing the landowner's lack of intention to dedicate any new public rights of way over its land, where the land is in Wales.

This standard document should be used only where the land is in Wales and should not be used where the land is in England. Where the land is in England, please use Application Form for deposits under section 31(6) of the Highways Act 1980 and section 15A(1) of the Commons Act 2006.