RESIDENT PARKING PERMIT
Application form
Version 5.5

Please complete this form in BLOCK CAPITALS and in black or dark blue ink. You must supply original documentation. Photocopies are not acceptable. 1. Applicant details
Title First name(s) Permit number

FOR OFFICE USE ONLY

Expiry date Application type CPZ

Surname

Fee Method Docs seen? Postcode Officer initials Date

£ Card / Chq / PO

Address

Telephone number

Email address

You must present two documents in the above name and address (which must fall within a resident parking zone) from the list below. You cannot supply two documents from the same section (for example, you cannot supply a bank statement and a credit card statement or two different utility bills). Please note that mobile phone bills, vehicle/insurance documents, TV licences and medical cards are not accepted.
Please cross two boxes: Driving licence Current council tax bill Bank statement/credit card statement dated within three months Utility bill dated within three months Current council rent book Welfare benefits letter dated within three months Department for Work and Pensions letter dated within three months
FOR OFFICE USE ONLY Officer initials

Driving licence Council tax bill B/CC statement Utility bill Rent book Benefits letter DWP letter

2. Vehicle details
You are not entitled to apply for a permit if your vehicle is a goods carrying vehicle that is more than 2.3 metres high and/or 5.3 metres long.
Vehicle registration mark Make Colour

You must present a UK vehicle registration document (V5C/logbook) for the above vehicle in the name and address listed in section 1 (which must fall within a resident parking zone). Alternatively, if the vehicle is under lease or hire you must present the agreement. If it is a company vehicle, you must also present a letter on headed paper from your employer stating