APPLICATION FOR A DISABLED STUDENT PARKING PERMIT
1.A permit to allow students to park at the University is available where, due to the nature of their disability, or long term, or short term medical condition, students have to rely on their car. It is accepted that these students cannot make alternative travel arrangements and are unlikely to be able to car share. In these cases, the University has a duty to provide disabled driver spaces or provide reasonable adjustments that may include a car park permit for parking in a location close to their place of study or to enable a University visit. This policy covers the provision of blue University car park permits for both Blue Badge Holders and those with temporary or permanent long term and/ormedical conditions. Further details can be found at
2.Disabled student parking is permitted on any University car park by the use of the marked disabled driverbays. When using these bays please display the University blue permit. If no bay is available then please park in any available parking bay. Failure to display a valid permit may incur a civil parking enforcement notice and a financial charge.
3.These parking permits are issued free of charge.
4. Applications must be made via the AccessAbility Centre.
New Application
Renewal
Title: …………………. First Name: …………………………………..Surname: ……………………..……………………………
University IT Account Email Address:…………………………………………………………………………………………………
Department: …………………………………………………………………………………………………………………..……………......
Building you work/attend most: …………………………..……………………………………………………………………………
Contact Tel No: ..…………………………………………………………………………………………………………………………………
Address from which you commute (e.g. home or term time address): …………………………………………....
……………………………………………………………………………………………………………………………………………………….……
…………………………………………………………………………………………………………………………………………………………….
Post Code: …………………………………………
Medical Recommendation:
To support your application please provide a copy of your blue badge OR a doctor’s letter confirming your requirement for a parking permit as outlined at Paragraph 1 above.(This will be read and held only by the AccessAbility Centre)
Have you provided a doctor’s letter?Yes No
Blue Badge Number: ……………………………………………………………………………………………………………………………………………………….
Comments(if necessary):…………………………………………………………………………………………………………..……….
……………………………………………………………………………………………………………………………………………………………
Period of Validity:(Permits are valid for a maximum of one year)
I wish this permit to start from: …………………………………… End on: ……………………………………………………
Car Details: (If you change your vehicle you must notify the Car Parking Office immediately)
Registration Number: …………………………………….Make: ………………………Model: …………………..……….
DECLARATION
I agree to abide by the Parking Regulations of the University of Leicester and confirm that the information provided in this application is true and agree that it can be subject to check at Audit.
Signature: …………………………………………………. Date of Application: …………………………………………..
Data Protection Statement
Personal data collected via this application form will be used to allow the effective distribution of staff parking permits and car park management. Data will be held on a dedicated University server with restricted access rights. The data held will be randomly audited. No information will be passed onto external agencies and all information disclosed by the applicant will be handled in line with the requirements of the Data Protection Act 1998.