Mobility Scooter Application Form
Please use this form to apply for a mobility scooter permit. As per our terms and conditions, electric wheelchair users do not need to apply for a permit.
  • About you

    Please provide information about you or the person who will be using the pass
  • This will be printed on the front of your permit
  • About your scooter

    Please provide information about your scooter below
  • Please give the manufacturer
  • Please give the model
  • Please provide your scooter's serial number
  • Please give the length of your scooter
  • Please give the width of your scooter
  • Please provide the number of wheels on your scooter