Disabled parking bay online application form

Please read the criteria for a disabled parking bay before proceeding with your application.

If you have any questions regarding your application, please email trafficteam@easthants.gov.uk (shared service with East Hampshire District Council).

Your contact details

First name *

Last name

House number and street name

Town or village

Postcode

Preferred contact method *

Email address *

Phone number

Blue badge details

The driver must live at the applicant's address permanently.

Blue badge number

Blue badge expiry date

Where the driver of the vehicle is not the applicant, please provide the drivers name

Blue Badge document submission (both sides, including number and photograph)

Files must be less than 2 MB.
Allowed file types: gif jpg png pdf doc docx zip.

Vehicle details

Vehicle registration *

Vehicle make *

Vehicle model *

Parking

Is there a daily problem finding a suitable place to park? *

Is a wheelchair required to transfer to and from the vehicle? *

Is there any off-street parking available for use eg. garage or driveway? *

If you have answered yes to the above question(s), please provide details as to why your off-street parking facility is unsuitable

Declaration

I have enclosed a copy of my blue badge (both sides, including number and photograph).

I acknowledge that the bay is not solely for my use and that the marking is advisory. I acknowledge that the council cannot become involved in any way should a dispute arise as the use of the bay.

I agree to notify the council immediately if any of my details stated in Parts 1 and 2 of this application form change and accept that the bay will be removed if I no longer meet the required criteria.

I acknowledge that the council may remove or suspend a disabled parking bay at any time. This may be necessary due to road works, or permanently due to changes in the layout of the road or for traffic management purposes. The bay may also be removed if it is not seen to be in regular use or if I no longer meet the criteria.

I agree that the provision of the bay will be regularly reviewed and I agree to provide copies of documentation required by the council for this purpose.

I declare that all the information I have given in this application is correct

Havant Borough Council is committed to protecting your privacy when you use our services. To understand how we manage the information you give us, please see our Privacy Policy.

Email alerts