Please fill in the criteria below to begin an application for a disabled parking bay. Please ensure you have read the information provided on our disabled parking bay webpage before you start your application. Name(Required) First Last Address(Required) House name/ number Address Line 2 Town Postcode Phone numberEmail Enter Email Confirm Email Would you prefer to receive communication regarding your application by email or post?(Required) Email Post Are you applying on someone else's behalf?(Required) Yes No Are you a blue badge holder?In order to be eligible for a disabled parking bay you must be a blue badge holder. You cannot proceed with this application until you have a blue badge. Yes No If you are making this application on another persons behalf, do you have the consent from the blue badge holder (listed above) to proceed with this application? Including granting consent to check their blue badge?If you do not have the consent of the blue badge holder you cannot proceed with this application. Yes No Please provide the name of the blue badge holderPlease provide the blue badge numberDo you consent to us checking your blue badge on our system?All we are checking is for an expiry date. We are not looking at any of the evidence you have submitted for your blue badge. Yes No Where would you like a disabled bay to be marked?(Required)Please describe the position that you would like a bay to be marked, using house numbers and road name where possible. If you are requesting to take over a bay please use this box to describe where the bay is currently marked.Is there access to off-road parking at or near to the property?(Required)If you have access to any off-road parking, even if it is far away from your property please answer ‘yes’ Yes No If you do have access to off-road parking, please describe where it is located(Required)Please use house numbers and road names where possibleIs a vehicle based at the address?(Required) Yes No Is the driver a resident at the address?(Required) Yes No Do you wish to add any further information to your application? Δ