Rate Mobility last 12 months / PIP or a copy of your original copy of your annual uprating letter. Component of Disability Living Allowance / PIP Section 2 (c) People who A photocopy of your original letter of entitlement for the War Pensioner’s Mobility Supplement. receive the War Pensioner’s Mobility Supplement Section 2 (d) People who A photocopy of your original letter confirming receipt of tariffs 1 8 under the Armed Forces and Reserve Forces receive an award under the – (Compensation) Scheme, which also certifies you have a Armed Forces and Reserve permanent and substantial disability which causes inability Forces (Compensation) to walk or very considerable difficulty walking. Scheme Section 4 Drivers with a A photocopy of your insurance details verifying this – adaptation. disability in both arms Section 5 Children the A photocopy of a letter from a healthcare professional that – has been involved in the child’s treatment; giving details of age of three their condition and type of medical equipment needed. Section 6 Organisational A photocopy of the tax disc/s for any vehicle/s registered – under the Disabled Passengers Vehicle (DPV) class. Badge 7 (f) Your signature against this declaration in Section 7 (b) and 7 (c) Your signature: Date of application: (DD/MM/YYYY) Please print your name here: Please return the completed form and supporting Access Oldham documents to: Civic Centre West Street Oldham, OL1 1UG (For Sat Navs use OL1 1NL) Telephone number 0161–770–1222
Rate Mobility Component of Disability Living Allowance / PIP last 12 months / PIP or a copy of your original copy of your annual uprating letter. Section 2 (c) People who receive the War Pensioner’s Mobility Supplement A photocopy of your original letter of entitlement for the War Pensioner’s Mobility Supplement. Section 2 (d) People who receive an award under the Armed Forces and Reserve Forces (Compensation) Scheme A photocopy of your original letter confirming receipt of tariffs 1 – 8 under the Armed Forces and Reserve Forces (Compensation) Scheme, which also certifies you have a permanent and substantial disability which causes inability to walk or very considerable difficulty walking. Section 4 – Drivers with a disability in both arms A photocopy of your insurance details verifying this adaptation. Section 5 – Children the age of three A photocopy of a letter from a healthcare professional that has been involved in the child’s treatment; giving details of their condition and type of medical equipment needed. Section 6 – Organisational Badge A photocopy of the tax disc/s for any vehicle/s registered under the Disabled Passengers Vehicle (DPV) class. 7 (f) Your signature against this declaration in Section 7 (b) and 7 (c) Your signature: Date of application: (DD/MM/YYYY) Please print your name here: Please return the completed form and supporting documents to: Access Oldham Civic Centre West Street Oldham, OL1 1UG (For Sat Navs use OL1 1NL) Telephone number 0161–770–1222
blue_badge_application_form.docx