Apply for Disabled Persons Parking Permit for an organisation 1Introduction2Your details3Permit details4Review You can use this form to apply for one or multiple Disabled Persons Parking Permits for an organisation. It takes about 10 minutes to complete this form. You will need to: Provide us with your organisation's details and contact information. Provide us with the reason you are applying for permits if you are applying more than one permit. After you submit this form: We will send you an email confirming we have received your submission. Please allow up to 28 days for assessment and we will update you with your application outcome. What happens with your information? We record your information on our customer database and make it available to relevant Council staff in line with City of Boroondara Privacy Statement Name of the organisation * Required Address of the organisation * Required Street address or PO Box Suburb / City State Post code Is the postal address for permit same as above? * Required Yes, same as above No, I will use a different address Postal address for permit Street address or PO Box Suburb / City State Post code Contact person's detailsFull name * Required Email * Required Enter email Re-enter email Phone * Required How many permits would you like to apply for? * RequiredPlease enter a number from 1 to 99.Please tell us the reason for applying multiple permits * RequiredCurrent permit number(s) * RequiredPlease click "+" to add more permit numbers What types of disabilities are experienced by passengers regularly transported by the organisation? * RequiredWhat types of appliances are used to support or aid passenger mobility? * RequiredConditions of use * Required I have read, agree to and shall comply with the Permit Conditions of Use of this permit Privacy statement * Required I have read Council's Privacy Statement and understand how my information will be used. Signature * Required Please review your information. If you notice errors please use the numbered page navigation or the 'previous' button to make changes. If all information is correct, please click the 'Submit' button to complete this form. {all_fields}EmailThis field is for validation purposes and should be left unchanged.
