Milton Keynes Council Suspension/dispensation For Parking Form printable pdf download

Milton Keynes Council Suspension/dispensation For Parking Form

08/2015

Milton Keynes Council Suspension/Dispensation for Parking

FOR OFFICIAL USE ONLY

Cheque

Date received

Suspension

code

Postal Order

Date issued

Credit/Debit Card

Processed by

A. Application Details

Mr/Mrs/Miss/Ms ______ Surname ____________________ Forename________________

Company Name and Address

_____________________________________________

________________________________________________________________________

Postcode ____________________ Daytime telephone number______________________

B. Vehicle Details:

VRM _____________Make _____________Model_____________Colour___________

Please use separate sheet if more than one vehicle required.

C. Suspension/Dispensation details.

Reason for suspension/dispensation

________________________________________

Street name

____________________________________________________________

Location in road (e.g. outside No 7)

__________________________________________

Type of bay(s) Resident

Meter (P&D)

Shared Use

Business

Free Bay

Disabled bay

Police Bay

Other (please specify)

Date(s) Suspension/dispensation is needed : ____/____/____ to ____/____/____

Between hours _______________________and __________________________

Total number of bay’s

_________________ @ £15.00 per bay per day.

Total Day(s) Required

_________________

Total Cost

_________________

Milton Keynes Council Suspension/dispensation For Parking Form