APPLICATION FOR VISITORS PARKING PERMITS

Office Use Only

Officer: _______________ Checked address Date of issue: _______________ Checked payment

Checked proof

Payment amount:_______________ Applicant ID No: _______________ Permit No: _______________ Stock No: _______________

Surname: Address:

First name(s):

e-mail address: Daytime telephone number(s): Documentation required:

Please tick if you have a business or resident permit that is currently valid if so you do not
Proof of residency. These must show both the above name and address of the applicant as shown above) Please tick TWO items from the following list and submit photocopies of these with your application form: Please tick (2) Utility (gas, water, electric, landline telephone) Bill - dated within the last 3 months Current Council Tax Bill Current witnessed and signed Tenancy Agreement photocopy must
show property address, names of landlord and tenant(s), dates of tenancy and the signatures of the landlord, tenant(s) and witness(es)

need to send any proof of residency. Please provide your current permit number ____________ [Note: the permit must be issued in your name; if it is not you will be required to provide proof of residency as detailed below]

Current household contents insurance policy Current vehicle insurance certificate Bank statement or credit card bill dated or showing transactions from the last 2 months (please block out any personal account information) Payslip, pension slip, benefits notification letter, or Inland Revenue notice of bill coding (dated within the last 2 months) University proof of enrolment letter (note: address not required on this
document)

If you cannot supply the required proofs please contact us.

Number of books requested

One book of scratch cards Two books of scratch cards

The charge is 10.00 for a book of 25 daily scratch cards (maximum of two books per application). Payment This will need to be made by Debit / Credit card. If your application is approved a member of the permit team will contact you by telephone to process your payment. Please ensure you have provided a daytime telephone number on page one of this application form. Applicants Signature: Date:

Please return your completed application and proof documents to: e-mail : parkingpermits@sheffield.gov.uk Post: Parking Services P.O. Box 3830 SHEFFIELD S1 9AQ Tel: 0114 273 5469 Fax:0114 205 3000

NOTES Permits will not be issued unless this form is accompanied by the correct documentation and payment. Applicants visitors should park their vehicles legally elsewhere (for example in pay and display bays with a valid ticket displayed) pending receipt of the parking permits. Until the correct documentation has been received and checked, we cannot confirm that an applicant is eligible for permits and therefore we would not give their visitors permission to park in a permit bay in these circumstances. Please allow 5 working days for your application to be processed Please DO NOT send cash, cheque or postal order payments The issue of Visitors permits is at the City Councils discretion. The City Council reserves the right to query applications and refuse any applications where it is considered that Visitors Permits are being misused.

Sheffield City Council is under a duty to protect the public funds we administer, and to this end may use the information you have provided for the prevention and detection of fraud. We may also share this information with other bodies responsible for auditing or administering public funds for these purposes.