Resident Permit Application
Please complete this form if you wish to apply for a new Resident Permit or renew an existing Resident
Permit
Please write clearly in BLOCK CAPITALS using black ink.
Please tick all relevant boxes and fill in all the details required.
Please read the accompanying guidance notes and frequently asked questions for essential information and
instructions.
Section 1 – Applicant Details
Is there private parking available:
Is the premises registered business premises:
Permit Reference Number and Expiry Date (Renewals only)
Please note – if you are applying by post and provide your email address a confirmation email will be sent to
you when permission has been granted.
Section 2 – Proof of Residency (see section 22 of Guidance Notes)
You must provide one of the following:
A current utility bill (dated within last 3 months)
A current tenancy
agreement (it must be
issued by a Housing
Association or leasing agent
on headed paper and dated
within the last 3 months
A current bank/credit card statement (dated within last 3 months)
A Council Tax demand (dated within last 3 months)
A mortgage agreement (dated within last 3 months)
Section 3 – Vehicle Details
Please tick to confirm you understand the following:
The permit will only be used on a passenger vehicle/light goods vehicle weighing
less than 3.5 tonnes unladden and designed for less than 8 passengers (not including the driver). It
will not be used on a caravan or trailer in any circumstances.
Section 4 – Proof that you Use the Vehicle (See Section 23 of the Guidance Notes)
If you own the vehicle (we need to see the following proofs):
I enclose all pages of the DVLA Vehicle Registration Certificate (V5C) OR
If your employer owns the vehicle (we need to see the following proofs):
I enclose a letter from my employer (dated within the last month) confirming that the vehicle is
owned/leased by the company and that I am the sole keeper/user.
If you lease or hire the vehicle (we need to see the following proofs):
PDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.comPDF processed with CutePDF evaluation edition www.CutePDF.com