Renewal of Parking Permit Application Form



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|Fields marked with an * must be completed. |

|* Full name: | |

|* Address: | |

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|* City/Town: | |

|County: | |

|* Postcode: | |

|* Contact telephone number: | |

|* Vehicle make: | |

|* Registration: | |

|* Existing permit number: | |

|Additional Information: | |

A charge of £25 per permit is applicable to all permits issued for use in residents’ permit schemes. This charge applies to all requests for new permits and renewals initiated from 7th June 2010. This is in line with the County Council’s budget proposals which were subject to consultation from November 2009 and confirmed on 25 February 2010.Please complete the above application form and return to the Central Processing Unit together with your payment unless you qualify for a concessionary permit.

Concessions

Resident’s permits are provided free of charge to vehicle-owning residents who are either Blue Badge holders or are aged 75 or over. Where applicable, a free visitor’s permit can also be issued to each household with a resident aged 75 or over or who holds a valid Blue Badge.

Residents eligible for concessions need to provide proof of their entitlement by including a COPY of appropriate documents as follows:

For Resident's Permit - A COPY of the blue badge (blue badge concession) or driving licence (age concession). Details must correspond with both the vehicle insurance documents and proof of residency.

For Visitor's Permit - A COPY of the blue badge (blue badge concession) or official document showing date of birth (age concession). Details must correspond with the proof of residency.

Please telephone 0115-804-0314 during working hours if you are in any doubt as to whether you apply for a concessionary permit.

How to Pay

Please make cheques or Postal Orders payable to Nottinghamshire County Council and please write your address on the reverse of the cheque/PO.

Alternatively, complete the details in the box below if you wish to pay by Mastercard, Visa, Maestro, Delta or Solo cards.

|Please debit my MASTERCARD/VISA/SWITCH/DELTA/SOLO card (delete as appropriate) |

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|Amount………………………… Card valid from (date)………………………… |

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|Card number |

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|(For Switch enter the 10 digit Switch number) |

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|Card expiry date……………………. Card Issue No……………………………… |

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|Full Name of Cardholder (as shown on card)………………………………………………………... |

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|Signature ………………………………………………………………. |

Please return to:

CENTRAL PROCESSING UNIT

P.O.BOX 10282

NOTTINGHAMSHIRE

NG17 0DX

Please mark the envelope “Permit Application” and allow up to 7 working days for applications to be processed.

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Renewal of Parking Permit

Application Form

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