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Blue Badge Application Form

Warning: Please do not use your internet browser's 'Back' button as this may cause your transaction to fail and you may have to start again. Please use the buttons provided on the form. Please be aware that this form will time out after 40 minutes of inactivity.

Your Progress:   1. Guidance notes  |  2. Applicant  |  3. Details  |  4. Questions  |  5. Declaration  |  6. Summary  |  7. Finish 

Guidance notes

Please allow approximately 30 minutes to complete this application.

The local authority may refuse to issue a badge if you do not provide adequate evidence that you meet the eligibility criteria.

Before you start you may find it useful to have the following information available:

  • National Insurance number
  • Vehicle Registration
  • Details of the Higher Rate of the Mobility Component of Disability Living Allowance
  • Details of the 'Moving Around' descriptor for the Mobility Component of Personal Independence Payment (PIP)
  • Details of the War Pensioner's Mobility Supplement
  • Armed Forces and Reserve Forces (Compensation) Scheme award
  • Treatment and Surgery details and dates
  • Medication details