This is an HTML version of an attachment to the Freedom of Information request 'Concessionary travel passes'.

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Permanent residents of Welwyn Hatfield who are over 60 years of age or who are over 5 years of age and have a qualifying disability can apply for a free pass that entitles them to free travel on local bus services anywhere in England.

This application form needs to be completed and taken to one of the council buildings listed below together with-

Council buildings where you can apply for your bus pass

Jim McDonald Centre, Hilltop, Hatfield (Weekdays 9.30am-1.30pm)

Bill Salmon Centre, 88 Town Centre (opposite Boots Chemist), Hatfield (Weekdays 9.00am-4.00pm)

Friendship House, Wellfield Close, Hatfield (Weekdays 9am-2pm)

Douglas Tilbe House, Hall Grove, WGC (Weekdays 9am-3pm)

Campus West Reception, The Campus, WGC (Mon/Sat 9.00am-8pm Sun 11am-7pm)

Cuffley Parish Council, Maynards Place, Cuffley (Tues/Fri 9.30am-12.30pm Sat 10am- 11.30am)

Scheme Managers Office, Stuart Rd, Welwyn (phone 01438 712967 to arrange)

Scheme Managers Office, Wickfield Close, Woolmer Green (phone 01438 811911 to arrange)

Wyllyotts Centre, Wyllyotts Place, Darkes Lane, Potters Bar (Weekdays 9.30am-2pm)

If you are unlikely to use the pass please do not apply.

TITLE ………… FIRST NAME ………………………….. SURNAME ………………………

ADDRESS…………………………………………………….

………………………………………………………………….

POSTCODE……………………. TEL.NO……………………….

DATE OF BIRTH …………/……/……… AGE………….

Please tick the category that applies to you

I AM OVER 60 YEARS OF AGE

I AM UNDER SIXTY AND DISABLED (please the tick the category that best describes your disability)

Epilepsy Severe Mental Disorder Giddiness/Fainting

Cannot read a registration plate Would be a danger to the public

SIGNATURE………………………………..

** Please remember to bring a recent passport sized photo plus proof of your age/disability and address.

For further information or help with completing the form please telephone 01707 357111

This authority is under a duty to protect the public funds it administers, and to this end may use the information you have provided on this form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. For further information, see the Council's website www.welhat.gov.uk

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For Office Use Only Authorised by……………………

Birth Cert Driving Licence Pension Passport Pink Card

Utility Bill Disab. Living Allowance Incapacity Benefit Other

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BUS PASS APPLICATION