Please complete all sections before submitting your application.
We have a duty to protect the public funds we administer and may use the information you have provided on this form to prevent and detect fraud. We may also share this information with other bodies responsible for auditing or administering public funds for these purposes.
For more information, go to our personal information page.
I declare that all the information I have given in this application is correct and understand that a false statement or any breach of the above may result in the withdrawal of the dispensation and render me liable for prosecution.
By submitting this form, you are in agreement with our parking dispensation terms and conditions.
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Coronavirus (COVID-19): We continue to provide services online and via telephone. However, we recognise that, in some cases, you will need an appointment with an officer so we offer limited pre-booked appointments at the Forum for urgent enquiries. You may experience longer waiting times or an online response due to increased demand on our services. Please call 01442 228000 and ask for the service you require. For council service updates and other advice, please see our COVID-19 page. ×