Clackmannanshire Council Online

Blue Badge Application Forms

Blue Badge Application Forms

Automatic Eligibility

This form is intended for applicants who:

• are blind (severely sight impaired);
• receive the higher rate of the mobility component of Disability Living Allowance (DLA);
• receive the mobility component of Personal Independence Payment (PIP);
• in receipt of the higher rate mobility component of Child Disability Payment;
• in receipt of the mobility component of Adult Disability Payment and have been awarded either:
  • 8 points or more in the Moving Around activity
  • 12 points in the Planning and Following a Journey activity
• enhanced rate mobility under special rules for terminal illness;
• receive the War Pensioner’s Mobility Supplement; or
• receive a qualifying award under the Armed Forces and Reserve Forces (Compensation) Scheme.

Unable to walk or virtually unable to walk

This form is intended for applicants over two years of age who have a permanent and substantial disability which means they are unable to walk or virtually unable to walk, or have a temporary, but substantial disability, which means they are unable to walk or virtually unable to walk which is likely to last for a period of at least 12 months, but less than 3 years.

Child under three years old

This form is intended for children under the age of three who may be eligible for a Blue Badge because they have a medical condition requiring the transportation of large and/ or heavy medical equipment and/or must be kept near a motor vehicle on account of their condition so that they can, if necessary, be treated for that condition in the vehicle or taken quickly in the vehicle to a place where they can be treated.

Driver with severe disability in both arms

This form is intended for applicants who regularly drive a vehicle, have severe disability in both arms and are unable to operate, or have considerable difficulty in operating parking meters.

Risk in traffic

This form is intended for applicants who have a mental or cognitive condition that means they lack awareness about the danger of traffic when making journeys.

Organisational badge

This form is intended for organisations involved in the care of disabled people who are seeking a blue badge for vehicle(s) which are to be used to carry disabled people who would themselves qualify for an individual Blue Badge.