Application For
Free Parking for Ultra low emission vehicles (ULEV) /
Title:- / Mr Mrs Miss Ms / Other:-
(please delete those that do not apply) / (please state)
First Name(s):-
Surname:-
Address
including
Post Code
Contact
Telephone:- (including STD Code)
Email

Leeds City Council is introducing a permit scheme to allow free parking fur Ultra low emission vehicles (ULEV).

This will apply in any Council operated pay and display space, on street or in car parks, provided the permit is displayed. However other rules such as maximum stay still apply. Most on street spaces are 2 hours maximum stay and this must be observed. The permit can only be used on pay parking spaces, other restrictions such as yellow lines, disabled spaces, loading bays etc are not covered. For a full list of car parks please see the Leeds City Council website.

In order to apply please complete the application form together with a copy of the registration certificate (the V5 document for the vehicle). The Council will not accept any application without the V5.

Only vehicles that the Department for Transport recognise as ULEV for their plugged in grant scheme will qualify. For a full list please see At the moment the scheme is limited to Leeds residents.

KEEPER NAME / VRM / V5 ENCLOSED
Declaration
I hereby apply for a parking permit(s) and declare that the information provided is accurate and true. I understand that the permit(s) remains the property of Leeds City Council and that replacements will be charged for. I understand that permits are not transferable and the facility may be withdrawn if the permit is found to have been misused.
Signature ...... Date......
Name………………………………………………………………………..

Please read our privacy statement on how we use your data:

For Office Use Only:
Item / A / R / Inits
Approved /

Sig ……………………………….………

/ Date …………………