Disabled bay application form

Redbridge Conversation 2012

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The disabled bay application form below is only for properties in Redbridge. If you do not pay your Council tax to Redbridge then you will need to speak to the Council where you do pay your Council tax. Please ensure that you have read the information on the disabled parking bay page before completing the application.

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Title
Full name
Address (inc post code)
Date of birth
Age
Blue badge issuing authority
Blue badge number
If you receive the 'Disabled living allowance' indicate your ratelease	Higher rate Lower rate
If the above does not apply to you, state the type of allowance you are entitled to:
Driver details
Is the badge holder the driver?	yes No
If no, what is the full name of the driver?
Does the driver live at the address above?	Yes No
Relationship of applicant and driver
Does the badge holder use a wheel chair?	Yes No
If yes, please provide medical evidence eg Letter from doctor or hospital stating wheelchair usage
Is there an off street parking facility or garage at or near the home?	Yes No
If yes, please give details
Vehicle details
What is the make and model of the vehicle?
Where is the vehicle normally parked?
Any further relevant information?
Please type your name here to declare that you have answered the above questions correctly*
Date
After submitting this application you must send us: A copy of the named driver's driving license and car registration. A copy of the blue badge Latest award letter if you recieve the higher rate disabled living allowance Medical evidence (such as a letter) from a doctor or hospital stating wheelchair usage if this is the case To the following address: London Borough of Redbridge, Highways and engineering services- Transportation, Lynton House, 255-259 High road, Ilford, IG1 1NY
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Redbridge Conversation 2012

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Home Disabled bay application form

Do it online

Contact us

Driver details

Vehicle details

Related pages and documents

Useful websites

All areas

Redbridge Conversation 2012

Create an account

Home Disabled bay application form

Do it online

Contact us

Driver details

Vehicle details

Related pages and documents

Useful websites

Redbridge news

All areas