If the disabled person is unable to complete the form, it may be completed on their behalf by a relative or carer. In the case of a child or young person it should be a parent or guardian.
To complete this form, you will need:
You will also need the Blue Badge expiry date and number, for the person who needs the parking space.
The disabled person who requires the parking place must be the Blue Badge holder. The Blue Badge number submitted on the application form must be registered to the disabled person'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.
The personal data you provide will be protected and handled in accordance with the General Data Protection Regulation (GDPR). For more about how we use your information, see our privacy notice.