Request for a Stage 2 Blue Badge Panel Review

Request for a Stage 2 Blue Badge Panel Review

This form is for applicants who wish to challenge the outcome of a Stage 1 Review
The Stage 2 Review is the final step in the appeals process.

You can only request a Stage 2 Review after a Stage 1 Review has been completed and a decision has been issued.

You must request a Stage 2 Appeal within four (4) weeks of receiving the outcome of the Stage 1 Internal Review.

What happens in a Stage 2 Review

It is carried out by an independent Member-led panel.

The Stage 2 panel looks at whether there was a process or governance error in how the assessment or Stage 1 Review was carried out.

The panel does not re-assess your mobility or hidden disability and cannot consider new medical evidence.

Examples of what the Stage 2 Panel can consider:
- a step in the assessment or Stage 1 process was missed.
- the wrong procedure, form, or guidance was used.
Examples of what the Stage 2 Panel cannot consider:
- disagreement with a clinical opinion or assessment score.
- new medical evidence that was not part of the original or Stage 1 process.
- requests to re-open the case for a new decision.
Who is this review for?
Who is requesting this review?

Myself (I am the applicant)Someone else (friend or family member)
If for someone else, please give the applicant’s details exactly as shown on their original application.
Applicant's Name*

First NameLast Name
Address*

Address 1

Address 2

CityState / Province

Post Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date*

DayMonthYear
Original Application Reference Number (if known)
Stage 1 Review reference or decision date:
Grounds for Stage 2 Review

There is only one valid ground for a Stage 2 Review.
Procedural Irregularity

I believe that there was a procedural irregularity in how my Blue Badge assessment or Stage 1 Review was carried out.
Please explain what you believe went wrong and provide any relevant details below:
Evidence Reminder

The Stage 2 Panel does not consider new or updated medical evidence.

If you wish to submit new medical or supporting information, your case may be referred back to the Concessionary Travel Team for a new assessment, not a Panel Review.
Declaration

I confirm that:
- A Stage 1 Review has been completed and I have received the outcome letter.
- I am requesting a Stage 2 Review on the grounds of a procedural irregularity.
- The information I have given in this form is true and accurate to the best of my knowledge.
Print name*
Date*

DayMonthYear
Contact details of person completing this form (if not the applicant):
Name

First NameLast Name
Relationship to applicant
Phone Number
Please enter a valid phone number.
Email
example@example.com
Once you submit this form our Democratic Services Team will contact you with further information about the Appeal panel.
Should be Empty:

Request for a Stage 2 Blue Badge Panel Review

What happens in a Stage 2 Review

Who is this review for?

Grounds for Stage 2 Review

Evidence Reminder

Declaration