Request a paper application form for a disabled person's travel pass

First name(required)

Last name(required)

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Address line 2

Address line 3

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Select which forms you need(required)

Select all that apply

Walking difficulties

Walking difficulties (as a result of losing a leg in active service)

Blind or partially sighted

Profoundly to severely deaf

Profoundly deaf in both ears and without speech or profoundly deaf in both ears with speech that cannot be understood by a person who hears normally

Without natural speech

Without the use of both arms

Would be refused a driving license on the grounds of: severe and enduring mental health; epilepsy, or giddiness and fainting; sight problems; other

Learning disabilities or a neurological development condition that would result in the refusal of a driving license

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