Get 09mq12

The 09mq12 form is essential for individuals seeking a concessionary bus pass in Southampton, specifically for those with disabilities. This guide provides clear, step-by-step instructions to ensure the form is completed accurately and submitted efficiently.

Follow the steps to fill out the form seamlessly.

1. Click ‘Get Form’ button to obtain the form and open it in the designated area.
2. In Part A, fill in your title (Mr/Mrs/Miss/Other), name, date of birth, address, postcode, telephone number, and email. Indicate whether you are currently receiving any rate of Disability Living Allowance, and if 'Yes', attach a copy of your current award letter.
3. Part B requires a qualified medical practitioner to evaluate and respond to various categories of disabilities. Ensure that questions regarding the applicant's vision, hearing, speech, mobility, and other medical conditions are answered accurately.
4. In this section, the medical practitioner must confirm if the applicant's condition is likely to last more than 12 months, as applicants whose conditions are shorter in duration are not eligible for a concessionary bus pass.
5. Once all sections are completed, ensure that the medical practitioner signs the form, prints their name, and provides their details alongside an official stamp to validate the application.
6. Finally, review all fields for completeness and accuracy. Once verified, save changes, download, print, or share the completed form as necessary.

Complete your 09mq12 form online today to ensure your eligibility for a concessionary bus pass.