Application form for a Disabled Persons Parking Place

About you
Details
Location
Declaration
Review
Confirmation

Step 1: About you

Type of application Select the reason why you are completing this form: To refresh an existing Disabled Persons Parking Place To review an existing Disabled Persons Parking Place where the main user has changed To apply for a new Disabled Persons Parking Place

Blue Badge Do you hold a valid Blue Badge? No Yes

The applicant must be the holder of the Blue Badge. The Blue Badge number submitted on the application form must be registered to the applicant’s current address. To make changes to your Blue Badge, contact Blue Badge, PO Box 696, Fareham, PO14 9PD, or telephone 0300 555 1376, or email: [email protected]. Go to gov.uk to apply for or renew a Blue Badge.

Contact name

Title

First name

Last name

Contact address

Enter your postcode

The postcode was not found within Hampshire. If the address is outside Hampshire please fill in the address details manually.

Pick your address

House number or name Street Area Town County Postcode

Contact details

Phone number Email address