Essential Carer Ticket Scheme

Essential Carer Form

We offer one free ticket for an Essential Companion attending with a person (over 13 years of age) with a disability who receives the higher rate of the Disability Living Allowance – Care or Mobility Component, the higher rate of Attendance Allowance, or the enhanced rate of the Personal Independence Payment.

To obtain your free ticket, please purchase an adult ticket for the day you require, complete the form below, and we will then review your proof of need and send an equivalent ticket.

Please note that all those under 13 years of age has to have an adult with them any way, so this scheme his only for over 13’s.

Phone
This field is for validation purposes and should be left unchanged.
1. Details of person with disability
Name*
First Last
Age
Address
Street Address Address Line 2 City County Postal Code Country
Email*
Enter Email Confirm Email
Phone*
Consent*
I am in receipt of the higher rate care or mobility component of the Disability Living Allowance / the higher rate of Attendance Allowance or hold Certificate of Visual Impairment and would like to apply for a complimentary seat for my Essential Companion. If you are in receipt of any other benefit, we regret that you do not qualify for this scheme.
I agree to the above.
2. Proof of disability
Please include a photocopy of your letter from the Department of Work & Pensions confirming your DLA / Attendance Allowance status or Certificate of Visual Impairment. You may cross out any monetary amounts.
File Upload*
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 32 MB.
3. Details of personal representative / person who will be booking tickets
If different from the person named above in Section 1
Name
First Last
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email
Phone*
4. Parking requirements
Do You Require Parking?*
Disabled Parking - Vehicle Registration Number
(only required if you have requested parking)
5. Any other comments
Your comments
Untitled

Essential Carer Ticket Scheme

Essential Carer Form

1. Details of person with disability

2. Proof of disability

3. Details of personal representative / person who will be booking tickets

4. Parking requirements

5. Any other comments

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