Get Disabled Freedom Pass Application Form - Merton Council - Merton Gov

Filling out the Disabled Freedom Pass Application Form is an important step for individuals seeking transport support based on their disability. This guide will provide clear instructions on how to complete each section of the form efficiently and accurately.

Follow the steps to complete the application form successfully.

1. Use the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Begin with Part A - Personal Details. Fill in your title, surname, first names, date of birth, age, and contact details including your telephone number, email address, and mobile number. Ensure you indicate whether someone is filling out the form on your behalf and provide the previous Freedom Pass number if applicable.
3. Complete the Ethnicity section for statistical monitoring purposes. Select from the provided categories that best describe your ethnic background.
4. Indicate any transport services you currently hold or use, such as an Older Person’s Freedom Pass or a Blue Badge.
5. Move to Part B - About Your Health / Disability. Choose the appropriate category for your application based on your health condition and specify the medical names for your disability.
6. Answer the questions regarding how your disability affects your ability to use public transport. Details about your work status and any relevant healthcare professional contacts should also be provided.
7. Proceed to Part C - Automatic Eligibility Criteria. Answer the questions regarding Disability Living Allowance and blindness registration. Attach any required proof of eligibility.
8. If you do not meet the automatic eligibility requirements, complete Part D - Other Eligibility Criteria, providing detailed information about any additional impairments, mobility issues, or relevant medical conditions.
9. Finally, in Part E - Declaration, confirm that the details you have provided are accurate, sign the form, and include any additional required documents, such as identification and photographs.
10. Once you have filled out the form, review all sections for accuracy, and save your changes. You can then choose to download, print, or share the completed form as needed.

Complete your application online today to ensure your access to essential transport services.