Resident's Parking Permit Application Form - Surrey Heath Borough ...

Resident’s Parking Permit Application Form 2013-2014(Controlled Parking Zone)Instructions1. Please see the additional ‘Guidance Notes’ which accompany this form.2. Please fill in all sections of the application form and sign it, otherwise your application may be delayed.3. When the application form is completed, you can either post it or take it in person to:Surrey Heath Borough Council, Knoll Road, Camberley, Surrey GU15 3HD.Opening hours Monday toThursday 8.30am to 5.30pm and Friday 8.30am to 5.00pm (excluding Bank Holidays)4. Make sure when you apply you include all necessary supporting documents and the correct payment. Ifyou are applying by post, please allow 14 days for the delivery of your permit. If you have anyproblems or queries making your application, please contact Parking Services at Surrey HeathBorough Council on 01276 707174 for assistance.5. A vehicle may not park in a permit parking place until you have received your permit and it is displayedin the vehicle.6. Please be aware that Surrey Heath Borough Council will be confirming your residency at the declaredaddress.Please write clearly in BLOCK CAPITALS when completing the forms belowYOUR PROPERTYGUIDANCE NOTESFulladdressYour address must be in a scheduledstreet within the controlled parking zoneas defined in the appropriate TrafficRegulation Order.PostcodeAboutyourpropertyHow many off street parking spaces areexclusively available to your household? Thisincludes driveway, hard standing or garage(including in a block or rented at other premises)To your knowledge, has anyone else from yourhousehold applied or will apply in the future for apermit (please tick)YESNOThis must be your main residence, whereyou normally reside at least 4 days aweekAvailability of off-street parking is takeninto account in determining qualificationfor a parking permitPage 1 of 7

PERMIT APPLICANT 1TitleForename(s)Surname/Family NameContact NumberEmail AddressABOUT YOUR VEHICLE …Registration NumberMakeModelColourCan wecontact youbyemail?(Tick)TICKYour vehicle must be one ofthe following:1. A passenger vehicle for up to 8max gross weight2. A motorcycle3. A vehicle for disabled persons.This must demonstrate that you ownor have authority to keep the vehicle.If your name is not on the vehicleregistration document (V5C) thenyou must provide proof that you areentitled to have the vehicle e.g.Company car letter or currentinsurance certificateProof of VehicleownershipVehicle registration document V5CCompany car letterCurrent insurance certificatePERMIT APPLICANT 2TitleIf eligible for a Second Permit under the current terms. Please refer to page5 under the section entitled PERMIT ELIGIBILITY / VALIDITYForename(s)Surname/Family NameContact NumberEmail AddressABOUT YOUR VEHICLE …Registration NumberMakeModelColourCan wecontact youbyemail?(Tick)TICKYour vehicle must be one ofthe following:1. A passenger vehicle for up to 8max gross weight2. A motorcycle3. A vehicle for disabled personsThis must demonstrate that you ownor have authority to keep the vehicle.If your name is not on the vehicleregistration document (V5C) thenyou must provide proof that you areentitled to have the vehicle e.g.Company car letter or currentinsurance certificateProof of VehicleownershipVehicle registration document V5CCompany car letterCurrent insurance certificatePage 2 of 7

DeclarationI hereby apply for the above permit for a period terminating 30 September 2014. I declare that:I reside (for four or more days of the week) at the address given and that the vehicle identified overleaf isowned/primarily used by meThe vehicle for which a permit is applied is a passenger vehicle for up to 8 people (plus driver), a smallgoods vehicle up to 3.5t MGW, a motorcycle or a vehicle for disabled persons.I have read the conditions of eligibility regarding the issue of the Residents Parking Permit and I believe Iam entitled to apply for a permit. I will use it in accordance with the conditions of issue.I undertake to return the permit to Surrey Heath Borough Council if:I cease to be a resident as defined in the appropriate order, orI cease to be the user of the vehicle detailed, orThe vehicle specified overleaf is adapted or used in such a manner that it ceases to be one of the typesspecified aboveI am issued a replacement permit, orThe council withdraws the permit under the relevant article of the applicable traffic order.I understand:This authority is under a duty to protect the public funds it administers, and to this end may use theinformation you have provided on this form for the prevention and detection of fraud. It may also sharethis information with other bodies responsible for auditing or administering.That you have to protect the public funds you handle, so you may use the information I have provided onthis form to prevent and detect fraud. You may share this information with other bodies who handle publicfunds for these purposes only.For further information, seehttp://www.surreyheath.gov.uk/council/informationgovernance/datamatching.htmSignature (must be completed by all applicants)Unsigned applications will not be processedAPPLICANT 1SignatureDateAPPLICANT 2SignatureDateOffencesPermits obtained using false details, or where payment is not made or is dishonoured, will be revoked and the vehiclewill be liable for penalty charges if parked where a resident’s permit is required. In addition, the Council may considerlegal proceedings against anyone dishonestly obtaining or attempting to obtain a parking permit.Page 3 of 7

Payment for Resident’s parking permit(s) – Controlled Parking Zone 2013-2014APPLICANT 1NameAPPLICANT 2NameAmount payable(£50 per annum or pro rata)If eligible for a Second Permit under the current terms. Please refer to page 5 under thesection entitled PERMIT ELIGIBILITY / VALIDITYAmount payable£(£75 per annum or pro rata)£SHBC Office use onlyFund 9: 78-148-810-14001-SFund XC: 20-200-820-20005S (credit card fee only)Please call the Parking Services Team on 01276 707174 during office hours and they will be able to take paymentover the telephone.Cheque paymentCheque enclosed (please tick)Please make cheque payable to: Surrey Heath BoroughCouncilCard PaymentThe Council accepts the following debit and credit cards:Visa Credit CardVisa Debit CardMasterCard Credit CardElectron CardSOLO cardMaestro Domestic UKMasterCard DebitTo protect against card misuse we do not process card details by post. If you want to pay using one of thesemethods, please provide up to two telephone numbers on which you can be contacted during office hours.Once your application has been processed, a member of staff will call you to carry out the transaction. Pleasenote that payments by credit card are subject to a 1.5% surcharge.Name of CardholderAddress of Cardholder and ContactPhone NumberPage 4 of 7

Resident’s Parking Permit Guidance NotesPlease detach and keep for your referenceChanges have recently been made to this permit scheme, so please read these notescarefullyGENERALOnly residents living within a Controlled Parking Zone are entitled to a permit for that zone, in accordance with theTraffic Regulation Order.Each question on the application form should be completed and fully answered.DURATIONPermits are normally issued for a period of 12 months – commencing 1st October to 30th September. Permits issuedduring the year will be for the balance of the period to 30th September.COSTThe current 12 month charge for a resident’s parking permit is £50 for a single permit and £75 for a second permit;please refer to PERMIT ELIGIBILITY / VALIDITY below. All CPZ residents’ permits expire on 30th September eachyear, permits for 11 months or less are charged pro rata.Permit 1 Permit 2Cost£Number of calendarmonths (or partthereof)1 4.172 8.333 12.504 16.675 20.836 25.007 29.178 33.339 37.5010 41.6711 45.83Number of calendarmonths (or partthereof)Cost£1 6.252 12.503 18.754 25.005 31.256 37.507 43.758 50.009 56.2510 62.5011 68.75PERMIT ELIGIBILITY / VALIDITYAny off-street parking (this includes driveway, garage or hard standing) that is exclusively available to a household istaken into account in determining the maximum permit entitlement of the household, the maximum per household istwo. If you do not have any off-street parking then the property is entitled to apply for up to two resident’s permits –the cost of the first permit is £50, the second permit £75 for a 12 month period. If there is one off street spaceavailable, the entitlement is one permit. If there are two or more off street spaces available, there is no entitlement toan on-street permit.A permit does not give the holder a right to park outside their home or guarantee that any parking space will beavailable.Permits are only valid for the vehicle for which they are issued. If you change your vehicle, even for a short time, youmust contact Parking Services to arrange a new permit or dispensation.Permits are only valid until the expiry date shown. Vehicles with out of date permits may be issued a penalty notice.Parking Services aims to send reminder notices to all permit holders shortly before they expire. However it remainsthe keeper’s responsibility to ensure there is a valid permit, clearly displayed.Page 5 of 7

ADDRESS TO SEND APPLICATIONSApplication forms, together with the appropriate fee and proofs of residence and vehicle ownership must be eitherreturned by post or taken to Surrey Heath Borough Council, Knoll Road, Camberley, Surrey, GU15 3HD. Openinghours are 8.30am to 5.30pm, Monday to Thursday and Friday 8.30am to 5.00pm (excluding Bank Holidays).WHERE TO DISPLAYEach new permit will be issued together with a protective cover which should be affixed to the inside of your vehicle’swindscreen on the nearside. The permit must be displayed on the vehicle to which it relates in such a way that theparticulars are readily visible from the front or nearside of the vehicle.WHERE TO USEThe residents parking permit will be issued to the vehicle and will display the vehicle registration number, the name ofthe road where you are entitled to park. The residents parking permit will only be valid when the vehicle is completelyparked within the clearly marked parking places. A permit does not give any concession to park on yellow lines orother restrictions.REFUNDSA permit holder who surrenders a permit to the Council after the permit has become valid is entitled to a pro ratarefund for the remaining full months of the permit. A £15 administration charge for this applies.LOST PERMITSIf a permit is lost, destroyed, damaged or stolen, the permit holder must notify Parking Services immediately, so thatan application for a duplicate permit can be made. A £15 administration charge for this applies.CHANGE OF VEHICLEA new permit must be obtained in the event of a change of vehicle. Please complete a new application form availablefrom Parking Services at Surrey Heath Borough Council on 01276 707174 or online at www.surreyheath.gov.uk Thenormal evidence of ownership will be required (although not the evidence of residence) and the new permit will havethe same expiry date as the old one. A £15 administration charge for this appliesWHAT HAPPENS IF A CONTRACTOR OR TRADESMAN IS VISITING THE PROPERTY?Contractors and tradesmen are responsible for ensuring that they park in accordance with the parking restrictionswithin that road. A contractor with an appointment during the Controlled Parking Zone hours of 8:30am to 6:00pmMonday to Saturday should contact Parking Services at Surrey Heath Borough Council on 01276 28561 to requestauthorisation to park.WHEN WILL I RECEIVE THE PERMIT?Once an application form and payment has been received it will be verified and processed by Parking Services.Please allow 14 days for the delivery of your permit. Please note that a vehicle may not be parked in a permit bay untilthe application has been processed and the permit is displayed in the vehicle.IMPORTANT NOTESVEHICLES FOR WHICH PERMITS MAY BE USEDIn order to qualify for a permit the vehicle for which the permit is intended for must be one of the following:A passenger vehicle designed or adapted to carry up to eight people, excluding the driverA small goods vehicle – i.e. up to 3.5 tonnes Maximum Gross WeightA motorcycleA mechanically-propelled invalid carriagePage 6 of 7

DEFINITION OF ‘RESIDENT’To qualify for a resident’s parking permit, the address provided in your application form must be your ‘usual place ofabode’. The council must be satisfied that an applicant is a genuine resident and resides at the property for at least 4days a week.FRAUDOn-street parking is a scarce resource, and the Council has a responsibility to ensure that only genuine local residentsobtain permits. To that end, the Council takes very seriously any case where someone dishonestly obtains or attemptsto obtain a permit to which they are not entitled.Regular checks are made to protect against permits being obtained dishonestly, including by false statements orforgery, and the Council will consider legal action, which may include criminal prosecution, in cases where it appearsthis has happened.CONTRAVENTIONSIt is a contravention of the relevant Traffic Regulatory Order to park (without proper cause) in a resident’s bay withoutdisplaying a valid permit, even if an application has been made to the Council. The current penalty charge is £50.Page 7 of 7