CLICK HERE to download a copy of the paper (new and renew) application form.
Please note, only use this form if the Accessible Parking Permit portal is off-line, or you cannot verify your AHPRA details, or if the applicant does not have a mobile number.
The paper application form requires a longer processing time for the Medical Practitioner as well as Council, resulting in a possible delay in outcomes for your patient.
It is not advised that a copy of the form is saved on your local computer/s. This form may be updated regularly and old forms will become invalid.
The following information need to be entered either by the patient, nominated representative or yourself
Enter the patient Personal Details
Enter the patient Contact Details
Skip this step if there is no nominated representative.
If the patient has a nominated representative, the representative will need to fill out the following information (the nominated representative is the person who is assisting the applicant)
If a patient is renewing a permit, enter the following information. Otherwise skip this step.
The patient and/or the nominated representative should read the Applicant/Nominated Representative Declaration before entering the following information
The Medical Practitioner will enter their details before completing the Functional Assessment
Occupational therapist please note: If your client is seeking a permit on the basis of a cognitive, behavioural or neurological impairment which is associated with the requirement for the continuous support of another person in order to maintain their safety, then please refer the applicant to their GP for assessment.
To complete the functional assessment, answer the following patient questions:
Read Permanent Medical Condition/ Disability Classification. Based on this definition answer the following question:
Does your patient or client have a permanent medical condition or disability? Yes or No
Read the Practitioner Declaration before entering the following information