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Blue Badge Scheme Application Form

 
You must complete all relevant sections of the application form and send us the appropriate documents to confirm your address, identity and evidence of eligibility. These are needed to prevent fraud.

Bedford Borough Council cannot issue a badge if you do not complete this form fully and provide adequate evidence that you meet the eligibility criteria.
 

SECTION 1

Information About You

If you are completing the form on the behalf of an applicant who is under 16 years of age or who is unable to complete the form for themselves, please provide their details in appropriate sections and sign the form on their behalf. 

Further guidance on completing this section can be found in Section 1 of the accompanying guidance notes. 

Date of Birth: *
Date of Birth:
Current Address and Contact Details
Have you lived at this address for the past three years? *
Have you lived at this address for the past three years?
Do you currently hold a Blue Badge?
Do you currently hold a Blue Badge?

Confirmation of Address

Proof of your address, dated within the last 12 months: To prevent fraud, we need to check that you are a resident in this local authority area before we can process your application. Please select one of the following options:
Proof of your address, dated within the last 12 months: To prevent fraud, we need to check that you are a resident in this local authority area before we can process your application. Please select one of the following options:
I have enclosed a photocopy of one of the following proofs of residency (Bedford Borough Council cannot accept originals):

Confirmation of Identity

Proof of your identity

You must attach a photocopy of one of the following as proof of your identity (Bedford Borough Council cannot accept originals). Failure to submit proof of identity may result in a delay in processing your application:

We need to check your identity to reduce the potential for fraudulent applications for a Blue Badge. 

Photographs

Please attach two recent passport-quality photographs of yourself (if you are the applicant), or of the person applying for a Blue Badge (if you are applying on their behalf). The photograph needs to be in colour with a white/cream background and show your, or their, full face so that the holder can easily be identified and no one else should be in the photograph (please see page 2 of the Blue Badge guidance notes for further details).

Please ensure that your or their name is on the back of the photograph and you complete Section 6(c) of the application form to confirm that the photograph is a true likeness.

PHOTOS ARE NOW DIGITALLY SCANNED. THEREFORE, ANY PHOTOS RECEIVED WHICH ARE NOT OF PASSPORT QUALITY CANNOT BE USED AND WILL BE RETURNED.

I confirm that the photograph provided has been taken within the last 12 months: *
I confirm that the photograph provided has been taken within the last 12 months:

Vehicle Registration Number

 
 
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Bedford Borough Council
Borough Hall
Cauldwell Street
Bedford
MK42 9AP

Tel. 01234 267422