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Blue Badge Application Form

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

When completing this form please refer to the accompanying guidance notes and Blue Badge FAQs.

Guidance notes

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