Parking Permit - Temporary Disability

Please be advised that there is a £20 fee for this permit. The fee can either be paid as a cheque when you submit the application or a member of the Parking Services team will call you to take a card payment once the application has been received.
This permit is only for use within Mole Valley District Council car park and does not permit the holder on-street. The permit is valid for 6 months from the month of purchase.

Applicant's Details

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Vehicle Details

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Disability Details

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Doctor/Consultant's Details

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