Apply for a disabled parking bay

Before you complete the form, please read the guidance notes for applicants.

Application form

Name

First

Last
Address where marking is required
Postcode
Phone
Email
Date of Birth
Details
Please provide your Blue Badge Number
Please provide your Blue Badge expiry date
Please provide your V5/log book document number
Do you or a member of your family drive a car which is kept at the address given?

If Yes, please send in a copy of the V5 Document as proof. See address above.
Do you have access to a driveway, off street parking or a garage?
Have you sufficient space in front of your property for a 6.6 metres (22ft) parking bay?

If Yes and if this space extends across the frontage of the next property, the written consent of the owner of that property must be obtained by the applicant and sent in as part of this application. See address above. Be aware that a distance of 6.6 metres (22ft) is needed.
Additional information you wish to provide
Declaration
I have read and understood the Guidance Notes for Applicants (see link above).
I agree