South
South Gloucestershire
Gloucestershire Council
Council
Organisation
Organisation Blue
Blue Badge
Badge
application
application form
form
Parking
Parking
concessions
for
people
with
disabilities
Parking concessions
concessions for
for people
people with
with disabilities
disabilities
••
•
If
you
are
part
of
an
organisation
that
cares
for
and
transports
disabled
people
who
would
If
you
are
part
of
an
organisation
that
cares
for
and
transports
disabled
people
who
would
If
you
are
part
of
an
organisation
that
cares
for
and
transports
disabled
people
who
would
qualify
for
a
Blue
Badge
if
they
applied
as
an
individual,
you
may
apply
for
an
Organisation
qualify
for
a
Blue
Badge
if
they
applied
as
an
individual,
you
may
apply
for
an
Organisation
qualify
for a Blue
Badge
if they
applied
asmeet
an individual,
you criteria
may apply
for
an Organisation
Blue
Badge.
Where
relatively
few
people
the
eligibility
for
a
badge
in
the
Blue
Badge.
Where
relatively
few
people
meet
the
eligibility
criteria
for
a
badge
in
the
Blue
Badge.
Where
relatively
few
people
meet
the
eligibility
criteria
for
a
badge
in
the
organisation,
it
would
be
preferable
for
the
disabled
people
themselves
to
apply
for
badges.
organisation,
it
would
be
preferable
for
the
disabled
people
themselves
to
apply
for
organisation, it would be preferable for the disabled people themselves to apply for badges.
badges.
using the Individual Blue Badge application form.
Organisation
badges
will
only
be
issued
to
an
organisation
which
both:
Organisation badges
badges will
will only
only be
be issued
issued to
to an
an organisation
organisation which
which both:
both:
Organisation
for
and
transports
disabled
people
who
would
meet
one
or
more
of
the
eligibility
criteria
for
an
• cares
cares
for
and
transports
disabled
people
who
would
meet
one
or
more
of
the
eligibility
criteria
for
an
cares
for
and
transports
disabled
people
who
would
meet
one
or
more
of
the
eligibility
criteria
for
an
individual
Blue
Badge;
and
individual
Blue
Badge;
and
individual Blue Badge; and
a
clear
need
for
an
organisation
badge
rather
than
using
the
personal
Blue
Badges
of
people
itit
has
a
clear
need
for
an
organisation
badge
rather
than
using
the
personal
Blue
Badges
of
people
• has
has
a
clear
need
for
an
organisation
badge
rather
than
using
the
personal
Blue
Badges
of
people
it
is
transporting.
is
transporting.
is transporting.
In
all
circumstances,
badges
will
be
supplied
to
organisations
or
departments
rather
than
to
individual
In
all
circumstances,
badges
will
be
supplied
to
organisations
or
departments
rather
than
to
individual
In
all
circumstances,
badges
will
be
supplied
to
organisations
or
departments
rather
than
to
individual
staff
members.
staff
members.
staff members.
o
o
o
Organisation
badges
must
only
be
used
for
the
purpose
of
transporting
disabled
people
who
meet
Organisation
badges
must
only
be
used
for
the
purpose
of
transporting
disabled
people
who
meet
Organisation
badges
must
only
be
used
for
the
purpose
of
transporting
disabled
people
who
meet
one
or
more
of
the
eligibility
criteria
for
a
badge.
They
must
not
be
used
by
an
employee
or
volunteer
one
or
more
of
the
eligibility
criteria
for
a
badge.
They
must
not
be
used
by
an
employee
or
volunteer
one or more
of thebusiness
eligibility on
criteria
forofa the
badge.
They must not be used by an employee or volunteer
carrying
out other
behalf
organisation.
carrying
carrying out
out other
other business
business on
on behalf
behalf of
of the
the organisation.
organisation.
It
is
unlikely
that
taxi
or
private
hire
operators
and
community
transport
operators
will
be
eligible
for
an
It
is
unlikely
that
taxi
or
private
hire
operators
and
community
transport
operators
will
be
eligible
for
an
It
is
unlikely
that
taxi
or
private
hire
operators
and
community
transport
operators
will
be
eligible
for
an
organisational
Blue
Badge
as
they
are
not
usually
involved
with
the
care
of
disabled
people.
organisational
Blue
Badge
as
they
are
not
usually
involved
with
the
care
of
disabled
people.
organisational Blue Badge as they are not usually involved with the care of disabled people.
ii
i
Please
refer
to
the
guidance
notes
at
the
back
of
this
book
before
completing
the
form.
The
notes
Please
refer
to
the
guidance
notes
at
the
back
of
this
book
before
completing
the
form.
The
notes
Please
refer
to
the
guidance
notes
at
the
back
of
this
book
before
completing
the
form.
The
notes
include
a
list
of
the
eligibility
criteria
for
this
scheme.
include
a
list
of
the
eligibility
criteria
for
this
scheme.
include a list of the eligibility criteria for this scheme.
Section
1 –– Information
about your
organisation
Section
Section 1
1 – Information
Information about
about your
your organisation
organisation
Name
of organisation:
Name
Name of
of organisation:
organisation:
Main
contact name:
Main
Main contact
contact name:
name:
Address:
Address:
Address:
Postcode:
Postcode:
Postcode:
Tel:
Tel:
Tel:
Organisational
logo:
Organisational
Organisational logo:
logo:
You
need
to
supply
the company
logo of
your organisation
if you are
applying for
an organisational
badge.
You
You need
need to
to supply
supply the
the company
company logo
logo of
of your
your organisation
organisation ifif you
you are
are applying
applying for
for an
an organisational
organisational badge.
badge.
Please
see
the
guidance
notes
for
more
information.
Please
see
the
guidance
notes
for
more
information.
Please see the guidance notes for more information.
If you would like this information in a different format
please contact: 01454 868009
SGC CREATIVE DESIGN April 2014 • Printed on recycled paper S
Mar
Mar 2014
2014
Mar 2014
AUG
2014
Mar 2014
www.southglos.gov.uk
www.southglos.gov.uk
www.southglos.gov.uk
ORGANISATIONLA
BADGE.indd
8 1
Organisation
blue badge
for print.indd
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Email:
Email:
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ORGANISATIONLA BADGE.indd 1
1
1
1
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11/04/2014
Organisational Blue Badge Guidance Notespeople
How many disabled people does your organisation care for?
Section 2
Does your organisation care for disabled people who would themselves qualify for an individual
Blue Badge? Please see the accompanying guidance notes for a list of the eligibility criteria.
Yes:
No:
If YES, please give details of the nature of this care:
South
Council
currently
does not charge for Blue Badges
How
manyGloucestershire
of the disabled people
in your care
are already
people
in
receipt
of a Blue
Badge
as individuals?
Please
complete
this
application
form if you are
quickly in the vehicle to a place where such
representing an organisation applying for an
treatment can be given.
Organisation
Blue
Badge.
How many of the disabled people in your care who are not
people
badges will only be issued to an
in receipt of a Blue Badge do you estimate would beOrganisation
eligible
Organisation badges may be issued to
which both:
to receive one if they applied as individuals? (Please organisation
refer to the guidance
notes for details of eligibility.)
organisations whose responsibility includes the
care and transporttion of disabled people who
• cares for and transports disabled people who
Please
provide your
organisation’s
(if would
applicable):
would themselves
meet
the eligibilityCharity
criteria Number
for a
meet one or more of the eligibility
badge should they apply individually.
criteria for an individual Blue Badge; and
Please describe why your organisation is applying for a Blue Badge and the types of trips it will be
An eligible
• has a clear need for an organisation badge
used
for: disabled person is defined as a
person who is over two years old and:
• receives the higher rate of the Mobility
Component of Disability Living Allowance; or
• is registered blind (severely sight impaired); or
As part of that care, does your organisation provide transportation?
Yes:
No:
If YES, please give details of the types of vehicles in which you wish to use the badge, their vehicle registration
numbers and how often they are used to transport disabled people:
Type of vehicle
Vehicle registration Number
Frequency used to transport
disabled people
Please provide a log book of journeys covering a three month period with your application.
Are any of your vehicles licensed under the Disabled Passenger Vehicle (DPV) taxation class?
Yes:
No:
If YES, please give details and attach a photocopy of the tax disc(s) to this application:
• receives a War Pensioner’s Mobility
Supplement; or
• receives a lump sum benefit under the Armed
Forces and Reserve Forces (Compensation)
Scheme within tariff levels 1-8 (inclusive) and
has been assessed and certified as having a
permanent and substantial disability which
causes inability to walk or very considerable
difficulty in walking; or
In all circumstances, badges will be supplied to
organisations or departments (e.g. Social Services Department) rather than to individual staff
members.
Using an Organisation Blue Badge
All employees of the organisation who will be
using the badge should be reminded that they
must only use the badge for the purposes of
transporting disabled people in their care who
meet one or more of the eligibility criteria for a
badge. These employees should be reminded
that if they use the badge to take advantage of
thethe
concessions
when there are no passengers
• drives
a vehicle
severe
How
often
do you regularly,
envisage has
youraorganisation
will use
Blue Badge?
in the vehicle who are eligible for a badge they
disability in both arms and is unable to
will face a fine of up to £1,000.
operate, or has considerable difficulty in
operating, all or some types of parking meter;
It is unlikely that taxi or private hire operators
or
and community transport operators will be
eligible for an organisation Blue Badge as they
• has a permanent and substantial disability
are not usually involved with the care of
which causes inability to walk or very
disabled people who would meet one or more
considerable difficulty in walking; or
of the eligibility criteria for a badge. Such
• receives the “Moving Around” descriptor of
operators are, of course, able to use an
the Mobility Component of Personal
individual’s Blue Badge when carrying that
Independence Payment (PIP) issued within the
person as a passenger.
last 12 months.
If you already have an organisational Blue Badge please
provide:
Organisation
In addition, eligibility covers children under the
ageof
three
who fall
within
either
or both of the
The
serial
number
on the
current
badge(s)?
following descriptions:
The expiry date of the current badge(s)?
• a child who, on account of a condition, must
always be accompanied by bulky medical
The
South Gloucestershire
Council
Blue around
equipment
which cannot
be carried
BB
Badge
known)great difficulty;
with reference
the child (If
without
Please do not send original documents with your application as these cannot be returned.
logo
You will be asked to supply your organisation’s
logo if you are applying for an organisation
badge. The requirements for supplying these
logos are largely the same as those for photos
on individuals’ badges.
Logos can be in colour or black & white (as
appropriate).
• a child
who,
on account badges
of a condition,
How
many
organisational
are youmust
applying for?
always be kept near a motor vehicle so that, if
necessary, treatment for that condition can be
given in the vehicle or the child can be taken
2
ORGANISATIONLA
BADGE.indd
2
Organisation blue badge
for print.indd
2
rather than using the personal Blue Badges of
people it is transporting.
11/04/2014 15:57
ORGANISATIONLA BADGE.indd 6
The dimensions of the logo/image on the badge
will be 1.37 inches (wide) by 1.77 inches (high)
or 35mm (wide) by 45mm (high).
3
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16:07
Section 2
Does your organisation care for disabled people who would themselves qualify for an individual
Blue Badge? Please see the accompanying guidance notes for a list of the eligibility criteria.
Yes:
No:
How many disabled people does your organisation care for?
people
How many of the disabled people in your care are already
in receipt of a Blue Badge as individuals?
people
How many of the disabled people in your care who are not
people
in receipt of a Blue Badge do you estimate would be eligible
to receive one if they applied as individuals? (Please refer to the guidance notes for details of eligibility.)
If YES, please give details of the nature of this care:
Please provide your organisation’s Charity Number (if applicable):
Please describe why your organisation is applying for a Blue Badge and the types of trips it will be
used for:
As part of that care, does your organisation provide transportation?
Yes:
No:
If YES, please give details of the types of vehicles in which you wish to use the badge, their vehicle registration
numbers and how often they are used to transport disabled people:
Type of vehicle
Vehicle registration Number
Frequency used to transport
disabled people
How often do you envisage your organisation will use the Blue Badge?
Please provide a log book of journeys covering a three month period with your application.
Are any of your vehicles licensed under the Disabled Passenger Vehicle (DPV) taxation class?
Yes:
No:
If YES, please give details and attach a photocopy of the tax disc(s) to this application:
If you already have an organisational Blue Badge please provide:
The serial number on the current badge(s)?
The expiry date of the current badge(s)?
The South Gloucestershire Council Blue
Badge reference (If known)
BB
Please do not send original documents with your application as these cannot be returned.
How many organisational badges are you applying for?
2
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3
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Section33
Section
Section55––Contact
ContactDetails
Details
Section
Declarationsto
tobe
becompleted
completedby
byall
allorganisational
organisationalapplicants
applicants––please
pleaseread
readbefore
beforesigning
signing
Declarations
Pleasepost
postyour
yourapplication
applicationform
formto:
to:
Please
confirmthat
thatthe
theorganisation
organisationmaking
makingthis
thisapplication
applicationisisinvolved
involvedininthe
thecaring
caringof
ofpeople
peoplewho
whofall
fallinto
intoat
atleast
least
1.1. I Iconfirm
oneof
ofthe
thecategories
categorieslisted
listedon
onpage
page1.1.
one
SouthGloucestershire
GloucestershireCouncil,
Council,
South
Blue Badges,
Chief
Executive & Corporate Resources Department
The Civic Centre,
Concessionary
Travel
High
Street,
PO
Box
300
Kingswood,
Civic Centre
Bristol
High
Street
BS15
9TR
Kingswood
Bristol
BS15 0DS
When returning your form to us, please check at your nearest Post Office to make sure you have paid the full
cost of the postage for the size of the envelope you use. If you do not pay the full amount, Royal Mail will not
deliverreturning
your application.
When
your form to us, please check at your nearest Post Office to make sure you have paid the full
cost of the postage for the size of the envelope you use. If you do not pay the full amount, Royal Mail will not
deliver your application.
If you have any queries regarding this form or need to provide information you can:
2. I Iwill
willensure
ensurethat
thatthe
theBlue
BlueBadge
Badgewill
willonly
onlybe
bedisplayed
displayedwhen
whenthe
thevehicle
vehicleisisbeing
beingused
usedto
tocarry
carrypeople
peoplewho
who
2.
fallinto
intothe
thecategories
categorieslisted
listedon
onpage
page1.1.
fall
3. I Iwill
willensure
ensurethat
thatall
allstaff
staffwho
whomay
mayuse
usethe
thebadge
badgehave
haveread
readthe
theregulations
regulationsand
andconditions
conditionsof
ofuse
useand
andare
are
3.
aware
of
the
penalties
for
misuse
of
the
badge.
aware of the penalties for misuse of the badge.
4. I Iwill
willinform
informSouth
SouthGloucestershire
GloucestershireCouncil’s
Council’sBlue
BlueBadge
Badgesection
sectionimmediately
immediatelyififthe
thebadge
badgeisislost
lostor
orstolen.
stolen.
4.
5. I Iwill
willensure
ensurethat
thatthe
thebadge
badgeisisstored
storedininaasecure
secureplace
placeand
andaarecord
recordof
ofits
itsuse
useisismaintained
maintained
5.
6. I Iunderstand
understandthat
thatififI Ifail
failto
toreport
reportany
anychanges
changesthat
thatmight
mightaffect
affectthe
theorganisation’s
organisation’sentitlement
entitlementto
tothe
theBlue
Blue
6.
Badgeas
assoon
soonas
asthey
theyhappen
happenor
orififI Iallow
allowother
otherpersons
personsto
tomisuse
misusethe
theBlue
BlueBadge,
Badge,this
thismay
mayresult
resultininthe
the
Badge
badge
being
withdrawn
by
South
Gloucestershire
Council
and
I,
or
those
persons
who
have
misused
the
badge being withdrawn by South Gloucestershire Council and I, or those persons who have misused the
badge,may
maybe
beprosecuted.
prosecuted.
badge,
Telephone:
868004
If• you
have any(01454)
queries
regarding this form or need to provide information you can:
Email: [email protected]
•• Telephone:
(01454) 868004
haveread
readand
andunderstood
understoodthe
theabove
abovedeclaration.
declaration.
7.7. I Ihave
Write to
us at the address shown above
•• Email:
[email protected]
Yoursignature:
signature:
Your
Visit one
Stop shown
Shops above
•• Write
to usofatour
theOne
address
Pleaseprint
printyour
yourname
namehere
here
Please
- Thornbury
OneOne
Stop
Shop,
Thornbury Library, St Mary Street, Thornbury BS35 2AA
• Visit
one of our
Stop
Shops
Kingswood
One
Stop
Shop,
High Street,
Kingswood
--Thornbury
One
Stop
Shop,
Thornbury
Library,
St Mary BS15
Street,9TR
Thornbury BS35 2AA
Dateof
ofapplication:
application:(DD/MM/YYYY)
(DD/MM/YYYY)
Date
One Stop
to High
Leisure
Centre,
Yate BS37
4DQ
-- Yate
Kingswood
OneShop,
Stop next
Shop,
Street,
Kingswood
BS15
9TR
Section44
Section
Checklistof
ofdocumentation
documentationyou
youneed
needto
toenclose
enclose
Checklist
Patchway
OneShop,
Stop Shop,
Hub, Rodway
Road,
Patchway BS34 5PE
--Yate
One Stop
next toPatchway
Leisure Centre,
Yate BS37
4DQ
• -Please
noteOne
disabled
is available
at all
our One
StopPatchway
Shops. BS34 5PE
Patchway
Stop parking
Shop, Patchway
Hub,
Rodway
Road,
Pleaseensure
ensureyou
youhave
haveenclosed
enclosedall
allrelevant
relevantdocuments.
documents.We
Wehave
haveprovided
providedaachecklist
checklistbelow:
below:
Please
• Please note disabled parking is available at all our One Stop Shops.
Yourorganisation’s
organisation’slogo
logo(section
(section1)1)
•• Your
photocopyof
ofthe
thetax
taxdiscs
discsfor
foryour
yourvehicles
vehicleslicensed
licensedunder
underthe
theDPV
DPVtaxation
taxationclass
class(section
(section2)
2)
•• AAphotocopy
copyof
ofaalog
logbook
bookof
ofjourneys
journeyscovering
coveringaathree
threemonth
monthperiod
period(section
(section2)
2)
•• AAcopy
44
ORGANISATIONLA
BADGE.indd
4 4
Organisation
blue badge
for print.indd
5
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ORGANISATIONLA BADGE.indd 5
5
11/04/2014 15:57
16:07
11/04/2014
Section33
Section
Section55––Contact
ContactDetails
Details
Section
Declarationsto
tobe
becompleted
completedby
byall
allorganisational
organisationalapplicants
applicants––please
pleaseread
readbefore
beforesigning
signing
Declarations
Pleasepost
postyour
yourapplication
applicationform
formto:
to:
Please
confirmthat
thatthe
theorganisation
organisationmaking
makingthis
thisapplication
applicationisisinvolved
involvedininthe
thecaring
caringof
ofpeople
peoplewho
whofall
fallinto
intoat
atleast
least
1.1. I Iconfirm
oneof
ofthe
thecategories
categorieslisted
listedon
onpage
page1.1.
one
SouthGloucestershire
GloucestershireCouncil,
Council,
South
Blue Badges,
Chief
Executive & Corporate Resources Department
The Civic Centre,
Concessionary
Travel
High
Street,
PO
Box
300
Kingswood,
Civic Centre
Bristol
High
Street
BS15
9TR
Kingswood
Bristol
BS15 0DS
When returning your form to us, please check at your nearest Post Office to make sure you have paid the full
cost of the postage for the size of the envelope you use. If you do not pay the full amount, Royal Mail will not
deliverreturning
your application.
When
your form to us, please check at your nearest Post Office to make sure you have paid the full
cost of the postage for the size of the envelope you use. If you do not pay the full amount, Royal Mail will not
deliver your application.
If you have any queries regarding this form or need to provide information you can:
2. I Iwill
willensure
ensurethat
thatthe
theBlue
BlueBadge
Badgewill
willonly
onlybe
bedisplayed
displayedwhen
whenthe
thevehicle
vehicleisisbeing
beingused
usedto
tocarry
carrypeople
peoplewho
who
2.
fallinto
intothe
thecategories
categorieslisted
listedon
onpage
page1.1.
fall
3. I Iwill
willensure
ensurethat
thatall
allstaff
staffwho
whomay
mayuse
usethe
thebadge
badgehave
haveread
readthe
theregulations
regulationsand
andconditions
conditionsof
ofuse
useand
andare
are
3.
aware
of
the
penalties
for
misuse
of
the
badge.
aware of the penalties for misuse of the badge.
4. I Iwill
willinform
informSouth
SouthGloucestershire
GloucestershireCouncil’s
Council’sBlue
BlueBadge
Badgesection
sectionimmediately
immediatelyififthe
thebadge
badgeisislost
lostor
orstolen.
stolen.
4.
5. I Iwill
willensure
ensurethat
thatthe
thebadge
badgeisisstored
storedininaasecure
secureplace
placeand
andaarecord
recordof
ofits
itsuse
useisismaintained
maintained
5.
6. I Iunderstand
understandthat
thatififI Ifail
failto
toreport
reportany
anychanges
changesthat
thatmight
mightaffect
affectthe
theorganisation’s
organisation’sentitlement
entitlementto
tothe
theBlue
Blue
6.
Badgeas
assoon
soonas
asthey
theyhappen
happenor
orififI Iallow
allowother
otherpersons
personsto
tomisuse
misusethe
theBlue
BlueBadge,
Badge,this
thismay
mayresult
resultininthe
the
Badge
badge
being
withdrawn
by
South
Gloucestershire
Council
and
I,
or
those
persons
who
have
misused
the
badge being withdrawn by South Gloucestershire Council and I, or those persons who have misused the
badge,may
maybe
beprosecuted.
prosecuted.
badge,
Telephone:
868004
If• you
have any(01454)
queries
regarding this form or need to provide information you can:
Email: [email protected]
•• Telephone:
(01454) 868004
haveread
readand
andunderstood
understoodthe
theabove
abovedeclaration.
declaration.
7.7. I Ihave
Write to
us at the address shown above
•• Email:
[email protected]
Yoursignature:
signature:
Your
Visit one
Stop shown
Shops above
•• Write
to usofatour
theOne
address
Pleaseprint
printyour
yourname
namehere
here
Please
- Thornbury
OneOne
Stop
Shop,
Thornbury Library, St Mary Street, Thornbury BS35 2AA
• Visit
one of our
Stop
Shops
Kingswood
One
Stop
Shop,
High Street,
Kingswood
--Thornbury
One
Stop
Shop,
Thornbury
Library,
St Mary BS15
Street,9TR
Thornbury BS35 2AA
Dateof
ofapplication:
application:(DD/MM/YYYY)
(DD/MM/YYYY)
Date
One Stop
to High
Leisure
Centre,
Yate BS37
4DQ
-- Yate
Kingswood
OneShop,
Stop next
Shop,
Street,
Kingswood
BS15
9TR
Section44
Section
Checklistof
ofdocumentation
documentationyou
youneed
needto
toenclose
enclose
Checklist
Patchway
OneShop,
Stop Shop,
Hub, Rodway
Road,
Patchway BS34 5PE
--Yate
One Stop
next toPatchway
Leisure Centre,
Yate BS37
4DQ
• -Please
noteOne
disabled
is available
at all
our One
StopPatchway
Shops. BS34 5PE
Patchway
Stop parking
Shop, Patchway
Hub,
Rodway
Road,
Pleaseensure
ensureyou
youhave
haveenclosed
enclosedall
allrelevant
relevantdocuments.
documents.We
Wehave
haveprovided
providedaachecklist
checklistbelow:
below:
Please
• Please note disabled parking is available at all our One Stop Shops.
Yourorganisation’s
organisation’slogo
logo(section
(section1)1)
•• Your
photocopyof
ofthe
thetax
taxdiscs
discsfor
foryour
yourvehicles
vehicleslicensed
licensedunder
underthe
theDPV
DPVtaxation
taxationclass
class(section
(section2)
2)
•• AAphotocopy
copyof
ofaalog
logbook
bookof
ofjourneys
journeyscovering
coveringaathree
threemonth
monthperiod
period(section
(section2)
2)
•• AAcopy
44
ORGANISATIONLA
BADGE.indd
4 4
Organisation
blue badge
for print.indd
5
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ORGANISATIONLA BADGE.indd 5
5
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11/04/2014
Organisational Blue Badge Guidance Notespeople
How many disabled people does your organisation care for?
Section 2
Does your organisation care for disabled people who would themselves qualify for an individual
Blue Badge? Please see the accompanying guidance notes for a list of the eligibility criteria.
Yes:
No:
If YES, please give details of the nature of this care:
South
Council
currently
does not charge for Blue Badges
How
manyGloucestershire
of the disabled people
in your care
are already
people
in
receipt
of a Blue
Badge
as individuals?
Please
complete
this
application
form if you are
quickly in the vehicle to a place where such
representing an organisation applying for an
treatment can be given.
Organisation
Blue
Badge.
How many of the disabled people in your care who are not
people
badges will only be issued to an
in receipt of a Blue Badge do you estimate would beOrganisation
eligible
Organisation badges may be issued to
which both:
to receive one if they applied as individuals? (Please organisation
refer to the guidance
notes for details of eligibility.)
organisations whose responsibility includes the
care and transporttion of disabled people who
• cares for and transports disabled people who
Please
provide your
organisation’s
(if would
applicable):
would themselves
meet
the eligibilityCharity
criteria Number
for a
meet one or more of the eligibility
badge should they apply individually.
criteria for an individual Blue Badge; and
Please describe why your organisation is applying for a Blue Badge and the types of trips it will be
An eligible
• has a clear need for an organisation badge
used
for: disabled person is defined as a
person who is over two years old and:
• receives the higher rate of the Mobility
Component of Disability Living Allowance; or
• is registered blind (severely sight impaired); or
As part of that care, does your organisation provide transportation?
Yes:
No:
If YES, please give details of the types of vehicles in which you wish to use the badge, their vehicle registration
numbers and how often they are used to transport disabled people:
Type of vehicle
Vehicle registration Number
Frequency used to transport
disabled people
Please provide a log book of journeys covering a three month period with your application.
Are any of your vehicles licensed under the Disabled Passenger Vehicle (DPV) taxation class?
Yes:
No:
If YES, please give details and attach a photocopy of the tax disc(s) to this application:
• receives a War Pensioner’s Mobility
Supplement; or
• receives a lump sum benefit under the Armed
Forces and Reserve Forces (Compensation)
Scheme within tariff levels 1-8 (inclusive) and
has been assessed and certified as having a
permanent and substantial disability which
causes inability to walk or very considerable
difficulty in walking; or
In all circumstances, badges will be supplied to
organisations or departments (e.g. Social Services Department) rather than to individual staff
members.
Using an Organisation Blue Badge
All employees of the organisation who will be
using the badge should be reminded that they
must only use the badge for the purposes of
transporting disabled people in their care who
meet one or more of the eligibility criteria for a
badge. These employees should be reminded
that if they use the badge to take advantage of
thethe
concessions
when there are no passengers
• drives
a vehicle
severe
How
often
do you regularly,
envisage has
youraorganisation
will use
Blue Badge?
in the vehicle who are eligible for a badge they
disability in both arms and is unable to
will face a fine of up to £1,000.
operate, or has considerable difficulty in
operating, all or some types of parking meter;
It is unlikely that taxi or private hire operators
or
and community transport operators will be
eligible for an organisation Blue Badge as they
• has a permanent and substantial disability
are not usually involved with the care of
which causes inability to walk or very
disabled people who would meet one or more
considerable difficulty in walking; or
of the eligibility criteria for a badge. Such
• receives the “Moving Around” descriptor of
operators are, of course, able to use an
the Mobility Component of Personal
individual’s Blue Badge when carrying that
Independence Payment (PIP) issued within the
person as a passenger.
last 12 months.
If you already have an organisational Blue Badge please
provide:
Organisation
In addition, eligibility covers children under the
ageof
three
who fall
within
either
or both of the
The
serial
number
on the
current
badge(s)?
following descriptions:
The expiry date of the current badge(s)?
• a child who, on account of a condition, must
always be accompanied by bulky medical
The
South Gloucestershire
Council
Blue around
equipment
which cannot
be carried
BB
Badge
known)great difficulty;
with reference
the child (If
without
Please do not send original documents with your application as these cannot be returned.
logo
You will be asked to supply your organisation’s
logo if you are applying for an organisation
badge. The requirements for supplying these
logos are largely the same as those for photos
on individuals’ badges.
Logos can be in colour or black & white (as
appropriate).
• a child
who,
on account badges
of a condition,
How
many
organisational
are youmust
applying for?
always be kept near a motor vehicle so that, if
necessary, treatment for that condition can be
given in the vehicle or the child can be taken
2
ORGANISATIONLA
BADGE.indd
2
Organisation blue badge
for print.indd
2
rather than using the personal Blue Badges of
people it is transporting.
11/04/2014 15:57
ORGANISATIONLA BADGE.indd 6
The dimensions of the logo/image on the badge
will be 1.37 inches (wide) by 1.77 inches (high)
or 35mm (wide) by 45mm (high).
3
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