BLUE BADGE

All Zones Parking
Permit Application Form

Please make sure this form is filled in correctly,
otherwise this could cause a delay in the issuing of your permit.
Your Full Name:
Email Address
Full Home Address
Telephone Number
If you make the return as a Carer, Parent, Guardian etc,
state in what capacity and for whom made:
REQUIRED DOCUMENT FILE UPLOADS

When uploading files, be aware of their size. Keep individual files below 1MB. The form will not upload if files are too large. If you need assistance re-sizing files then an online tool is available here:
Original Valid Blue Badge
Applicant's ID Card
Proof of Residence (utility bill not more than 3 months old):
DECLARATION OF APPLICANT

I wish to apply for a Parking Permit in respect of that specified in this application. I understand that any permit issued remains the property of Gibraltar Car Parks Ltd and that the issue of a permit is conditional on my surrendering it in the event of any of the following:

1) Upon the issue of a duplicate permit.
2) The Blue Badge holder has deceased
3) The applicant no longer holds a Blue Badge

I undertake to inform Gibraltar Car Parks Ltd immediately if any one of the events specified in sub paragraphs 1) 2) or 3) has occurred.

I declare that all the information given in, and supporting this application, is correct and I understand that a false statement may render me liable for exclusion from the scheme and liable for prosecution. I declare that any vehicle using a permit because of this application will not park in such a manner that it obstructs other residents access and that all relevant drivers will be made aware of this condition. declare that I will not duplicate the permit issued under this application.

I understand that parking a vehicle issued with a permit because of this application form in spaces defined as Residential Car Parking Spaces is limited to a continuous maximum period of 3 hours.

I understand that I shall display the permit issued under this application along with my Blue Badge and Blue Parking Clock at all times while parked in Residential Car Parking Spaces.

DATA PROTECTION STATEMENT

All information you provide on this application will be used by Gibraltar Car Parks Ltd to whom it is necessary to perform the job, as agents for the Government for administrative purposes only. By signing this application, you are consenting to Gibraltar Car Parks Ltd processing this information for the purpose of administration. Gibraltar Car Parks Ltd may pass on key data to the Government for the purposes of regulation of parking. Gibraltar Car Parks Ltd may also pass on key data to bodies responsible for auditing and administering public funds, for the purposes of preventing and detecting fraud.