If you have a life limiting illness or are in receipt of DS1500 or a SR1 and are in need of a Blue Badge, we can provide a fast track application service. Current Start Preview Complete Warning message Complete this form to apply for a Blue Badge for somebody with a life limiting illness. Postcode Check Do you pay your Council Tax to City of Wolverhampton Council? Yes No Don't know Information message You can use your Postcode to find your council on Gov.uk Find your Council(link is external) Applicant Who is the applicant? I am completing this for myself I am completing this on behalf of someone else Applicant's details Applicant Name Name Title Title - None -MissMsMrMrsDrOther…- None -▾- None -MissMsMrMrsDrOther… Enter other… Applicants first name Applicant last name Applicant address Address First line of applicants address Second line of applicants address City/Town Postcode Contact Contact details Applicants email Applicants phone number Your details Name Customer name Title Title - Select -MissMsMrMrsDrOther…- Select -▾- Select -MissMsMrMrsDrOther… Enter other… First name Last name Address Customer address First line of address Second line of address City/Town Postcode Contact Contact details Email Phone number Your documents Please provide a copy of the DS1500 form? 15155
