Resident parking permit application and renewal form

If you renew online by declaration at camden.gov.uk/parkingpermits you will save 10 (not valid for motorcycles or electric vehicles).
Section 1 Your details (must be completed in all cases)
Title (Mr, Mrs, Miss, Ms) Surname Address Postcode Permit number (if applicable) Are you currently on the Camden electoral register? Yes Tel. home Tel. mobile
(providing this means we can send you a text reminder 7 days before your permit expires, if required)

Please ensure that you read and understand sections 3 and 4 before completing and submitting your application

First name

I am:
a)  Applying for the first time (go to section 2) b)  Renewing my existing permit with no changes (go to section 5) c)  Changing my address complete your new address above (go to section 5) d)  Changing my vehicle(s) details, including adding or removing a vehicle (go to section 2)

No

Email
(providing this means we can send you an email reminder 21 days before your permit expires)

Section 2 your vehicle details

Please complete below details of the vehicle(s) you wish to have listed on your residents permit (maximum 3). You must include details of all vehicles, even those that may already be registered. Proof must be supplied for any new vehicle. Please note further charges will be applied for registering a 2nd and 3rd vehicle registration. If you are registering more than one vehicle, the cost of your residents permit will be based on the vehicle which falls into the highest price category e.g. the vehicle with the highest cylinder capacity (cc), CO2 emissions (g/km) or vehicle category. Please see the current fees and charges insert for which category your vehicle/s fall into. Please note an additional supplement of 10 will be applied to each diesel vehicle registered. Vehicle 1 Registration number Engine size/emissions (motor vehicles only) Electric vehicle (Y/N) Diesel vehicle (Y/N) Vehicle height metres Vehicle width metres New or Existing vehicle new existing new existing new existing Vehicle 2 Vehicle 3

Duration of the permit you are applying for: 6 months

12 months
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Section 3 Essential information

1. Proof of residence  If your name is not included on the current Electoral Register you will need to confirm where you live by providing a copy of, one of the following; a.  a copy of a current council tax bill in your name and Camden address b.  a current Council or Housing Association rent book showing your own name and Camden address c.  a tenancy agreement, including your name and Camden address, confirming that the property can not be sub-let. 9. Suspensions  Occasionally we need to suspend parking spaces. Although advance warning signs will normally be displayed giving permit holders 14 days notice of the suspension, this cannot be guaranteed, so do not leave your vehicle without checking it regularly. You can also sign up to get email alerts of forthcoming suspensions in your street or CPZ. To sign up visit www.camden.gov.uk/parkingalerts 10. Reminders  We aim to send a renewal reminder letter or email (depending on your preference) to you 21 days before your permit expires and a further SMS text reminder if you still havent renewed your permit 7 days before your expiry date, as long as you have registered your mobile telephone details with us. You may wish to set your own permit reminder, as it is your responsibility to renew your permit on time. 11. Charges  All charges are included on the attached fees and charges leaflet. 12. Emission based charging  Charges for residents permits are split into four tariffs based on either your vehicles cylinder capacity (cc), CO2 emissions (g/km) or vehicle category depending on when it was registered. The different prices are part of an initiative to encourage residents to think about the way we get around and the impact our vehicles have on the environment. 13. Diesel vehicle supplement  An additional 10 supplement on top of the emission based tariffs will be applied to diesel vehicles to account for the greater negative impact diesel vehicles have on local air quality. 14. Additional vehicle registrations  Charges apply for registering a 2nd or 3rd vehicle registration to your resident permit. If more than one vehicle is registered to a permit the resident permit charge will be applied to the vehicle falling under the highest emission based tariff, please refer to the current fees and charges. 15. Payments  Cheques must be made payable to London Borough of Camden (RP). Please write your address and vehicle registration number on the reverse of the cheque. 16. Refunds  If you move out of Camden, dispose of, or sell your vehicle you must return your permit to us. You can also request a refund by completing the refund request form (available online), or in person. Refunds will be calculated based on the number of full months remaining on your permit, less an administration fee. 17. Lost or stolen permits  We will replace stolen permits for free if you supply us with a crime reference number, otherwise a fee of 10 will be charged. 18. Fraud and abuse prevention  To help prevent fraud and abuse of the resident permit scheme, each month a sample of permit holders will be asked to provide proof of residence and vehicle details. Customers will be given 21 days in which to produce the documents, failure to do so will result in permit withdrawal. 19. Data protection  No personal information you have given us will be passed on for commercial purposes. Our policy is that information will only be shared among officers and other agencies where the legal framework allows it, and where it will help to improve the service you receive and to develop other services. 20. Warning  It is a criminal offence to make a false statement for the purpose of obtaining any permit and upon summary conviction is subject to a fine of up to 2,500. It is a criminal offence to allow the misuse of the permit which the offender is liable (a) on conviction on indictment to imprisonment for a term not exceeding 2 years (b) on summary conviction is subject to a fine of up to 5,000.

 If you are providing a tenancy agreement as proof of residence you also need to provide a copy of, one of the following as additional evidence; a. a recent utility bill (dated within the last 3 months) b.  a recent personal bank or building society statement (dated within the last 3 months) c.  certificate and schedule of motor insurance showing you as the policy holder in your Camden address d. flat or house contents insurance

2. Permit durations  Resident permits are available for 6 month or 12 month periods. 3. Vehicles  Each resident may apply for one residents parking permit only, but each permit can have up to three vehicle registration numbers on it. Any vehicle listed on a permit must be registered in the permit holders name and to their Camden address (except company vehicles). Where multiple vehicles are listed on the permit only one may park in a permit holders bay at any one time. 4. Privately owned vehicles  Please provide a registration certificate (V5C/Logbook all pages), showing your name and Camden address. 5. Electric vehicles  Vehicles solely powered by electricity do not fall under the emission based tariffs and qualify for a resident permit at a discounted rate. Please see the fees and charges insert for further details. 6. Motorcycles  Motorcycles do not fall within the emission based tariffs and qualify for a resident permit at a discounted rate. Please see the fees and charges insert for further details. 7. Foreign vehicle registrations  If your vehicle is registered abroad you can apply for a resident permit, for a maximum of six months. After this time, your vehicle must be registered with DVLA, in your name, at your Camden address before any further permits can be issued. We cannot issue permits for vehicles registered abroad in a companys name.  If your vehicle is registered abroad please provide proof of vehicle insurance from the country of origin. If the vehicle is registered outside of the European Union please also provide evidence of agreement from HMRC that the vehicle is permitted to be in the UK (C110 Form). 8. Company vehicles  Please provide a letter quoting the vehicle registration number and confirming the vehicle is owned by the company and allocated to you for your full time and exclusive use. The letter must be addressed to Contact Camden, on your company letterhead, signed by the company director and accompanied by a copy of the V5C and hire/lease agreement in the companys name.  A current company letter must be provided whenever you renew your resident permit. Please note we can not issue permits for pool, borrowed vehicles or those with shared use or owned by relatives, and only one company vehicle may be included on a residents permit.

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Section 4 Terms and conditions

1.  A residents permit will be issued according to the Controlled Parking Zone (CPZ) in which the applicant resides. You can apply for a residents permit if: y  our usual place of abode is within the boundaries of a CPZ and you spend at least five nights per week at that address y  ou are 17 years old or over and you own, keep and use a vehicle of the classes specified below y  our home is not designated as car free or car capped housing under the terms of a planning agreement made under Section 106 of the Town and Country Planning Act 1990 2. Your vehicle must be: a  passenger or private light goods vehicle which weighs a maximum of 3.5 tonnes unladen and is no more than 2.2 metres wide or 2.32 metres tall a  motorcycle weighing a maximum of 410kgs and not including a sidecar an electric vehicle 3.  You cannot park trailers or caravans, whether they are linked up to a vehicle displaying a permit or standing alone. 4.  Residents permits allow a vehicle to be parked only in bays where the adjacent sign states Resident permit holders only or Permit holders only followed by the CPZ identifier. The identifier takes the format CA- followed by another letter. The identifier may appear on a black patch on the sign as shown in the example below. Permits are valid only within the CPZ in which the applicants address is located. 7.  You may apply for a permit in respect of up to three vehicles though you will only be allowed to park one vehicle in a residents parking bay at any given time. 8.  Additional charges incurred as a result of registering second or third vehicles, or diesel powered vehicles, are payable at the time you amend your permit details and will be payable again when the permit is renewed. 9.  The electric vehicle discount is not applicable if you hold a permit for a conventionally powered vehicle. 10.  Refunds will only be given in respect of 12 month permits at a rate equivalent to the monthly pro rata charge multiplied by the number of full months remaining before the expiry of the permit. 11.  If you have been issued with a paper permit or other device for display inside the vehicle then it must be displayed prominently in the windscreen so that all unique details can be read from the exterior of the vehicle. If the device shows a barcode then it must be displayed so that the barcode can be scanned from the exterior of the vehicle. If your permit is damaged so that any of these details become illegible, you must return it for a replacement. 12.  Possession of a permit does not guarantee a parking space. It is the responsibility of the permit holder to ensure that a vehicle is parked in accordance with the parking restrictions at all times. 13.  If your circumstances change, for example if you move house or change vehicles, your permit may become invalid. Contact Camden will be able to advise you if your permit details need updating. 14.  By applying for a permit you confirm that you understand and accept these terms and conditions. Camden reserves the right to carry out random checks to ensure that permits are being used within these terms and conditions. 15.  Failure to follow the terms and conditions may result in enforcement action being taken against the vehicle, the withdrawal of the permit and possible criminal proceedings. 16.  Camden reserves the right to amend these Terms and Conditions at any time.

Permit holders only

CA - K Mon - Fri 8.30am - 6.30pm

Permit identifier

5.  You may also park in pay and display / pay by phone bays within the CPZ free of charge for the first and last hours only of the controlled hours, except in CPZ CA-B (Belsize Park), CPZ CA-H (Hampstead) and in bays where the controlled hours are of 2 hours duration. 6.  The use of parking bays may occasionally have to be suspended. You must not park in a suspended bay as your vehicle will be liable to enforcement action.

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Section 5 Declarations
I hereby confirm that my vehicle and address details have not changed since my last permit was issued or I declare that all information given in this application is true to the best of my knowledge. I agree to promptly supply proof of these details if so requested as part of the Councils fraud check process. I understand that failure to do so when requested will result in my permit being invalidated. I understand that by signing this I accept all of the terms and conditions under which the permit is issued as set out in section 4. I understand that it is a criminal offence to make a false statement for obtaining a permit and to allow the misuse of the permit. Please ensure that you have included the following documents:

F  irst time applicant: Proof of address V5C document (only if company vehicle) Hire/lease agreement Company letter (only if company vehicle)  Renewal / amendment Proof of address if address has changed (with changes): V5C document(s) if vehicle(s) changed  Renewal (no change): No additional proof required

Signed I will make payment: By post (cheque enclosed) In person By phone please call me on:

Dated

Contact Camden Parking Services London Borough of Camden PO Box 4501, Dunstable, LU6 9PP Web: camden.gov.uk/contactparking Tel: 020 7974 4444
Creatives services 2161.1 April 2012 020 7974 1985

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