Resident Category Application Form

You can apply for a new permit, renew a permit and request changes to a permit online at www.barnet.gov.uk/parking This form is to be completed for Resident, Green, Temporary and Housing Permit applications

EVIDENCE AND PROOF OF VEHICLE OWNERSHIP MUST ACCOMPANY ALL PARKING PERMIT APPLICATIONS Please send copies of documents to support your application with this form by post. We do not have a public counter. All documents must clearly show your current name and address.

Please provide one of the following documents as proof of residence: Recent Utility Bill (within the last 6 months) - Gas, Electric, Water or Land-Line Telephone, (not a mobile phone bill); Council or housing trust rent book; A valid flat or house contents insurance policy; Benefits or pension book; Current Council Tax Bill; Tenancy agreement; Recent (within the last 6 months) Bank or Building Society statement;

If you have recently moved to the London Borough of Barnet and cannot provide the information requested above please provide the proof from the categories below. A letter of completion on a newly purchased property. The letter from the solicitor must state that the transaction has been completed and is not set for completion at a future date.

Please provide one of the following documents as proof of vehicle ownership: Vehicle Registration Document showing the same name and address as the proof of residence (V5). (PLEASE NOTE THAT WE DO NOT ACCEPT THE NEW KEEPER SUPPLEMENT); Insurance Schedule showing the applicant as the Main Policy Holder with the vehicle insured at the same address as the proof of residence. (PLEASE NOTE THAT WE DO NOT ACCEPT CERTIFICATE OF MOTOR INSURANCE OR NEW KEEPER SUPPLEMENT); Company Car Applicants must have a recent dated and signed letter from their employer stating that the applicant is an employee of the Company and confirming the Vehicle Registration Number and the Address where the vehicle will be kept; Applicants with a long-term lease or hire vehicle must provide a copy of the agreement showing the same address as the proof of residence;

If you have recently moved to the London Borough of Barnet and cannot provide the information requested above please provide the proof from the categories below. A motor insurance schedule showing the applicant as the Main Policy Holder with the vehicle insured at the same address as the proof of residence;

Permit Costs 1st Resident Permit 2nd Resident Permit 3rd Resident Permit Gas/Electric Vehicle Permit 1st Housing Permit 2nd Housing Permit 3rd Housing Permit Temporary Permit Visitor Vouchers (per book of 10) Carers Permit

100.00 125.00 150.00 50.00 42.00 75.00 75.00 240.00 48.00 Free

Please note Housing permits are only available to residents in Marriots Close, Marsh Drive, Tyrell House, Warner Close, Prospect Road and Ridge Road Payment Details If you are sending in a cheque or postal order to cover all the permits please write the vehicle registration numbers and your address on back of the cheque. Cheques and postal orders are to be made payable to the London Borough of Barnet. We are no longer accept postal credit or debit card payments.

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Please complete this application form using BLOCK CAPITALS and return it to us. Green permits are issued to LPG/dual fuel/electric/electric hybrid vehicles. Official use only:

First vehicle permit application

Please mark the relevant box below to indicate which permit you are applying for: Resident permit Temporary permit Green permit Housing permit

Title (Mr/Mrs/Miss/Ms/Other) Full Name . Ethnic Origin Address ..... Post Code .... E-mail. (please note that a valid email address is required as all reminders for permit renewals will be sent by email) Daytime Telephone No Length of Time at Address . Vehicle Details: Make Model . Colour .. Registration .. Please read the Conditions of Use and sign the Declaration below to say that you understand and accept the conditions Signed Date . Official use only:

Second vehicle permit application

Please mark the relevant box below to indicate which permit you are applying for: Resident permit Temporary permit Green permit Housing permit

Title (Mr/Mrs/Miss/Ms/Other) Full Name . Ethnic Origin Address ..... Post Code .... E-mail. (please note that a valid email address is required as all reminders for permit renewals will be sent by email) Daytime Telephone No Length of Time at Address . Vehicle Details: Make Model . Colour .. Registration ..

Please read the Conditions of Use and sign the Declaration below to say that you understand and accept the conditions Signed Date .

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Official use only:

Third vehicle permit application

Please mark the relevant box below to indicate which permit you are applying for: Resident permit Temporary permit Green permit Housing permit

Title (Mr/Mrs/Miss/Ms/Other) Full Name . Ethnic Origin Address ..... Post Code .... E-mail. (please note that a valid email address is required as all reminders for permit renewals will be sent by email) Daytime Telephone No Length of Time at Address . Vehicle Details: Make Model . Colour .. Registration .. Please read the Conditions of Use and sign the Declaration below to say that you understand and accept the conditions Signed Date .

Declaration By signing this and any of the foregoing sections: 1. I declare that I live at the address given and wish to apply for one or more resident parking permits in respect of the vehicles described. I understand that any permit issued to me by the Council is in respect of the said vehicle(s) and that any permit issued must be surrendered to the Council if: (a) (b) (c) (d) (e) 3. I cease to be a resident within the zone for which the permit is issued; I cease to own the vehicle/s specified in this application; The vehicle/s specified in this application is a passenger vehicle and is constructed or adapted solely for the carriage of more than twelve passengers. The vehicle/s specified in this application is a goods carrying vehicle and is constructed or adapted in such a manner that it exceeds 2.3m in height; or I am issued with a duplicate permit.

2.

I understand that the validity of the permit is conditional on it being displayed in the front or near-side window of the vehicle so that all details on the front of the permit are clearly visible from outside the vehicle.

4. I confirm that the above information is correct to the best of my knowledge. I understand that making a false statement may result in prosecution and a possible fine of up to 5,000.

Signed Date .

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How to Submit Your Application Please Return The Completed Form And Copies Of Supporting Documents To: London Borough of Barnet, Parking Service, PO Box 27284, London, N11 1YB. Please ensure you send all of the following: Check List: Completed application form, signed and dated Payment (cheque, postal order) Proof of Address (see notes) Proof of Vehicle Ownership (see notes)

Providing all the correct documents will help us process your application as quickly as possible. If you have any queries about your application please visit www.barnet.gov.uk/parking Data Protection Statement The London Borough of Barnet will use information, including personal information, collected through the issuing of this Permit for the enforcement of traffic contraventions and it may also be used for compatible purposes. The information may be disclosed to London Councils, other enforcement agencies and third parties where it is necessary and lawful to do so e.g. for the prevention and detection of crime. All information will be processed in accordance with the Data Protection Act 1998.

Conditions of Use 1. The permit only allows you to park in a Resident Permit Holders Only or Permit Holders Only parking place during the controlled hours, making sure that the same zone identifier letters displayed on the permit appear on the sign. The permit does not allow you to park in a Business Permit Holders Only parking place, Pay and Display bays, yellow lines, or any other parking restriction. The permit may only be used in a shared use parking place where the signs indicate the zone identifier wording in condition 1. The issue of a resident permit does not guarantee the availability of a parking space nor does in render the council subject to any liability in respect of loss or damage to the vehicle in a parking place or the contents or fittings of the vehicle. The permit must be displayed on the front windscreen of the vehicle so that the details are clearly visible from outside the vehicle. Parking places may be suspended by any person duly authorised by the council or police. A resident permit is not valid in a parking place where signs indicate it is suspended. It is prohibited to use a vehicle in a parking place in connection with the sale or offering or exposing for sale of goods. The maximum number of resident permits which shall be issued to a household within a street or part of a street at any one time shall be three. If a permit is lost or destroyed the council may replace the permit once an administration charge has been paid. The replacement permit will display the same expiry date as the previous permit. If the permit is no longer required the council may arrange a refund for the remaining number of months, once the original permit is returned to our office. The refund is calculated from the date the permit is received and will be for any full unused months. It is recommended that you send the original permit by recorded delivery post as without this permit we cannot arrange a refund. The council may revoke a permit if it believed that the permit is being misused. Where a vehicle has three or more outstanding penalty charge notices issued that have progressed to charge certificate stage (by this stage there is no longer a right of appeal) then a new or renewed permit will not be issued for that vehicle until the outstanding penalty has been paid or the matter otherwise resolved. Failure to comply with these conditions may result in a Penalty Charge Notice (PCN) being issued to your vehicle. Residents Permit v3.1 December 2011

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