Online application for disabled parking spaces

Complete an online form to request a disabled parking space near your home.

Find out more about disabled parking places

Qualifying person details (a person who holds a disabled persons' badge)
1. Full name*
2. Address including postcode*
3. Contact telephone numbers*
4. e-mail address*
Representative of Qualifying Person/Organisation
1. (if different from above and applying on behalf of a Qualifying Person or as the representative of an organisation)
2. Full name
3. Address including postcode
4. Contact telephone numbers
5. e-mail address
Details of Blue Badge held by qualifying person
1. Number*
2. Date of Issue*
3. Expiry date*
4. Issuing office*
Vehicle details
1. Registered address of the keeper of the vehicle*
2. Vehicle registration (Please provide a copy of the V5 vehicle registration document or Motobility Agreement) max 2mb
3. If you unable to attach either of these documents, please post direct to us or take to your local roads office.
Declaration
1. I declare that the information given on this form is correct and true to the best of my knowledge. I also confirm that I am the qualifying person/representative of the qualifying person or organisation.
2. Name*
3. Position in company (if appropriate)
4. Date (DD/MM/YYYY)*
Privacy
1. Dumfries and Galloway Council respect your privacy and will adhere to the data protection of your personal information in accordance with the new data protection law. The Council will only use your personal information to administer your account and to provide the products and services you have requested from us.
  
  Read the Council’s privacy statement. This explains how we use any personal information we collect about you when you use this website.
  
  I have read and understood the Council’s privacy statement.
  I freely consent to my personal information being used for the specified purposes.
2. Consent*
  
  Yes
  
  No
Label

Page last updated: 29/10/2019

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Online application for disabled parking spaces