Disabled persons parking bay

Apply for a disabled parking bay
Full name*

First NameLast Name
Address*
Date of birth*

DayMonthYear
Telephone*
Email address*
We will send a confirmation email to this address
Do you hold a disabled person's 'Blue Badge'?*

YesNo
When does it expire?*

DayMonthYear
What is the serial number?
Who issued the badge to you?
What is the maximum distance you can walk without stopping, experiencing discomfort or requiring help from another person?
Do you receive the higher rate mobility component of the Disability Living Allowance or the enhanced rate of the mobility component of Personal Independence Payment? (You will need to provide proof of this)*

YesNo
You only need to provide one piece of evidence. You can email a digital photograph or scanned copy of:
- an official letter confirming your award
- a vehicle excise duty exemption certificate
- a current Post Office order book showing that you receive the allowance
Please email TMO@kingston.gov.uk
Do you receive a war pensioner’s War Mobility Supplement?

YesNo
Do you use a wheelchair?

YesNo
Is the wheelchair used full or part time?

Full timePart time
Is your vehicle specially adapted for you?

YesNo
Is your vehicle normally kept at your address?

YesNo
Where is the vehicle kept?
Do you have off-street parking facilities?

YesNo
Please describe the off-street parking facilities
Who is the main driver of the vehicle?*
Who else drives the vehicle?*
When will the disabled bay be used?
What times during the week?*
What times at weekends?*
How many journeys, on average, do you use your vehicle each day?
During the week?*
At the weekends?*
Briefly describe the nature of your disability
The following declaration should be made by or on behalf of the applicant.

I declare that, to the best of my knowledge, the details given above are correct.
Your name*
On behalf of*
Your address*
If different from the applicant
Should be Empty:

Apply for a disabled parking bay

When will the disabled bay be used?

How many journeys, on average, do you use your vehicle each day?