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BLUE BADGE APPLICATION FORM - Wakefield

APPLICATION DetailsPlease state the reason why you are applying for a blue BADGE : New APPLICATION To replace a lost/stolen BADGE Renewal APPLICATION To replace a faded BADGE (please attach faded BADGE )If your blue BADGE has been lost or stolen please supply the following numbers (obtained from any police station)Lost Property No: .. Crime Report No: ..Please complete all relevant sections of the APPLICATION form and supply the appropriate documents to confirm your address, identity and evidence of eligibility. Wakefield Council may refuse to issue a BADGE if you do not provide adequate evidence that you meet the eligibility criteria. When completing the form you may find the accompanying Guidance Notes note - applications may take up to 20 days to process following receipt of all correct supporting evidencePlease affix your photograph hereBLUE BADGE APPLICATION form To be used for individuals applying for a blue BadgeIf you are completing the form on behalf of a child who is under 16 years of age, please provide their details in the appropriate sections and sign the form on their guidance on completing this section can be found in Section 1 of the accompanying guidance : Mr Mrs Miss Ms other.

These questions are intended for people who may qualify for a Blue Badge automatically because they: • are severely sight impaired (blind); • receive the Higher Rate Mobility Component of Disability Living Allowance;

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  Form, Applications, Blue, Badge, Disability, Allowance, Blue badge application form

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