1 SRFI_NO_BRE kimMaguire75@gmail.

com SRFI_NO_BRE Postal Renewals No Business Reply Envelope Seymour 211167

BALLINDINE, CLAREMORRIS, CO. MAYO

Tel: (094) 9364054/9364266 Fax No: (094) 9364336
Email: [email protected] Website: www.ddai.ie

DDAI ID: 211167 Date: 19/12/2023

Ms Kim Seymour
56 Ashbrook Heights
Leghenamore
Togher
Cork City

Dear Kim,
Your Disabled Persons Parking Permit is due for renewal. Please find enclosed your Renewal Application pack. Your
DDAI ID number above is unique to you and should be quoted in all correspondence between us.
Before completing the forms we advise that you read the instructions carefully to avoid unwarranted delays. Please
note that due to increased volume and seasonal closures the Renewal process will take up to 10 working days,
excluding postage time. If renewal items are missing or incomplete, the full pack will be returned to you, so please
ensure all is present by reference to the checklist overleaf.
Please note our offices will close for Christmas from Friday 22nd December 2023 to Tuesday 2nd January
2024. Therefore, items will need to be submitted by 8th December 2023 to ensure processing and return
before Christmas.
We have made several service improvements to assist you with renewals. You can now choose to renew your permit
by using our new Online Portal, no paperwork is needed only a validated email address. You can fill the form, upload
photos and complete payment online at a time of your choosing. Please contact us to receive Portal Invitation and you
can complete the renewal process in less than 5 minutes.
If you wish to continue with postal renewals, once the paperwork is submitted to us, you can have a recent photo
taken by smartphone and send by email to us. You can also opt to pay using our Link to pay service (LTP) this will
enable you or someone on your behalf pay the permit fee of €35 and optional Wallet holder €2 by card via a secure
online portal. You can request this service by email, please read the checklist for full details. We will remain receiving
& processing items by post as before. It is vital that the photo provided with each permit is recent, please read the
checklist for full details.
For all renewal applicants you can now hold onto your permit until the receipt of your new permit, so complete
your renewal promptly to ensure your new permit arrives in time. Enclosed with your new permit you will receive a free
post business reply envelope which should be used to immediately return the old permit to us, those who do not
return the old permit will not benefit from this service on future renewals.
You can only park in an accessible parking bay with a valid permit. You will need to refrain from parking in accessible
parking bays and incur any parking charges if your permit has already expired. If your medical condition has
improved to the extent that you no longer need the Permit OR if the permit holder (person to whom this letter was
sent) has since passed away, we ask that you please return the out of date permit with a note accordingly to our
offices.
A parking permit, when issued, is for the sole use and benefit of the disabled person named on the permit; to be kept
with them and used by them in whatever car they travel; it is illegal for any third party to use or display a permit without
the presence of the permit holder in the vehicle. It is a prosecutable offence to copy, alter, forge or lend a Disabled
Persons Parking Permit. The Permit holder must be the person with severe mobility issues; please contact us
immediately if details given to us are incorrect.
Please contact our offices where staff will gladly assist with any query.
Yours sincerely,
Kenneth Fox, CEO

The Disabled Drivers Association of Ireland is a Company Limited by Guarantee

The Disabled Drivers Association of Ireland is a registered charity with the Charities Regulatory Authority
Registration Number: 20011536 Revenue Registration: CHY 6384
 CHECKLIST FOR RENEWAL APPLICATION FOR EU DISABLED PERSONS’
PARKING PERMIT
Please read the Instruction notes carefully prior to filling the form AND read the
Terms and Conditions in Section E prior to signing your agreement to same.
 This form has 5 Sections: A, B, C, D and E.
While we understand that some applicants may need help to complete forms it is VITAL that all
details confirmed on these forms belong to the Applicant (person with the disability) and that the
Applicant signs the Official declaration on the back of the form themselves. If the applicant does
not have the capacity to sign (child/intellectual disability), the person signing on their behalf must
provide proof of their authority to do so.
x Section A to be completed by the Applicant noting any change to their contact details.
x Section B Complete noting any condition changes/medical interventions and attach copy of
HSE First schedule if you have attained a Primary Medical Certificate (PMC) since last permit.
Please note this is NOT the medical card; A PMC is issued by HSE to someone who has a
vehicle adapted for their needs - if this does not apply just tick No on this question.
x Section C – follow the instruction message typed in this section.
x Section D – Photo ID: Enclose one up to-date passport-sized photograph of the Applicant;
please note we cannot re-use the photograph already used on your current permit. Photo can
be taken by smartphone and emailed to [email protected] with Applicant name & DDAI ID
in the email subject line. Note renewal will only take place when all items are received by us.
x Section E – all permit holders should sign this official declaration
2. Whether you renew using our New Online Portal or you decide to return your completed
Application Form by post, the following items are required:
• 1 recent photo of the Applicant (less than 1yr) different to photo on old permit.
• Permit Fee of €35
• Wallet order form with €2 & Email Forms opt in (if applicable)
• Copy of Primary Medical Certificate (Section B − if applicable)
*** For postal applications Only − Form Section E − Signed by Applicant or their spouse only on
their behalf; for all other signatories, please read notes on section E
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IF YOU WANT TO SECURE YOUR PERMIT THEN ORDER A WINDSCREEN HOLDER

 EU Disabled Persons’ Parking Permit
Renewal Application Form
DDAI ID: 211167 APPLICATION No: PPA−000179484−DDAI DATE: 19/12/2023

Ms Kim Seymour The Disabled Drivers Association of Ireland,

56 Ashbrook Heights Parking Card Section,
Leghenamore
Togher Ballindine, Claremorris, Co. Mayo.
Cork City Tel: (094) 936 4054
Email: [email protected]
Web: www.ddai.ie

*211167*
*211167*
Please read the attached information sheet carefully
prior to filling form.
Sections A, B and E must be completed by the applicant.
Completed Renewal Form, Permit Fee of €35,
BOE 1 Current Photo MUST be submitted
before renewal can take place. Incomplete applications will be returned.



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PLEASE USE BLOCK CAPITALS ONLY

Section A: Details of Applicant (Person with the Disability)

Surname: ............................................................................................. Mr/Mrs/Miss/Ms (other): ....................................

Forename(s): ...................................................................................... Date of Birth: ..........................................................

Address: ............................................................................................... Telephone: ..............................................................

................................................................................................................. Mobile: ......................................................................

Eircode: ................................................ Email: ...............................................................................................................................................

Section B: State of Disability

Since your original application, has the applicant had any medical intervention
or recovery that would have improved their mobility to a significant degree? Yes °No °
Yes °No °
Have you issues, affecting your capacity to undertake responsibility for your permit
and permit aplication?

Yes °No °
Have you obtained a Primary Cert since your first application?
If yes, please enclose copy. This may exempt you from a Medical Review of your permit.
Please Note: The Primary Medical Certificate is NOT the Medical Card.
A Primary Medical Certificate (PMC) is a document issued by HSE to a person with such significant mobility loss, that a vehicle is permanently
adapted for their needs. The PMC document is headed “First Schedule” or “Second Schedule” and contains official HSE stamp; it is issued either on
a Permanent or Temporary basis. Temporary PMC’s have a validity expiry date. Possession of PMC is NOT compulsory for Parking Permit but may
exempt you from future medical review.

Section C: Medical Review

********* Your Application has NOT been selected for Medical Review at this time *********
Section D: Photo ID
You do not need to return to the Garda Station, however, please ensure you:
• Enclose one recent passport-sized photograph (less than 1 year old) of the person with the Condition / Disability.
Please note that we cannot use the photograph already used on your old parking permit.
ALTERNATIVELY have a family member / friend with a smart phone take a picture of you and e-mail it to
[email protected] stating applicants name and DDAI ID.

Section E: Must be completed by ALL APPLICANTS

CONDITIONS FOR THE USE OF THE DISABLED PERSONS’ PARKING PERMIT
• The Disabled Persons’ Parking Permit is valid for a maximum of two years.
• The Disabled Persons’ Parking Permit is issued solely for the use with the registered holder (i.e. the person with disability)
• The Disabled Persons’ Parking Permit is only to be used /displayed on a vehicle in which the holder (i.e the person with the
disability) is a driver or passenger at the time it is being used / displayed).
• In the event of the death of the Disabled Persons’ Parking Permit holder (i.e. the person with disability), the Disabled Persons’
Parking Permit MUST be returned to the Disabled Drivers Association.
• The Disabled Drivers Association reserves the right to withdraw the Disabled Persons’ Parking Permit in the event of the permit
being misused.
• The Disabled Persons’ Parking Permit is a legal permit and it is a criminal offence to copy, alter, forge or lend a Disabled Persons’
Parking Permit.
• In the event of a Disabled Persons’ Parking Permit being lost or stolen, the permit holder must report this to the Disabled Drivers
Association.
• Disabled Persons’ Parking Permit holders are requested to use designated accessible bays only when necessary and are
encouraged where possible to use regular parking spaces.
Declaration
I agree to abide by the Conditions under which the EU Disabled Persons’ Parking Permit is issued as listed above. I also
acknowledge that the Parking Permit remains the property of the Disabled Drivers Association of Ireland and I further agree to
return the Parking Permit, if I am requested to do so by the Disabled Drivers Association of Ireland. I declare that the information I
have given is correct and I understand I am liable to prosecution if I know it to be incorrect. I also consent to the Disabled Drivers
Association of Ireland contacting my Medical Practitioner directly for the purposes of obtaining more information to validate
my application. I accept that information other than the medical information, as outlined in my application form may be
communicated to Garda Síochána, Parking Wardens, Local Authorities, their Agents and other Parking Permit Issuing Authorities
for enforcement purposes.
Data Protection - How information will be used: DDAI respects the privacy of Disabled Persons’ Parking Permit holders and
applicants. DDAI will hold information in a secure manner. Only authorised DDAI personnel will have access to this data and may
contact you from time to time based on areas of interest and communications preferences indicated by you.
Using your information: We may use your information in assisting DDAI
• To understand your requirements • To improve and develop services • To advocate on behalf of People with Physical
disabilities to Government Departments. We do not disclose any personal details or information without authorisation.
Contact: A copy of DDAI’s Data Protection Policy is available on request. If your require any further information you can email:
[email protected]
Consent: DDAI have a legitimate interest in collecting and processing your personal data for the administration of Disabled
Persons Parking Permits. We rely on GDPR article 6 1 (B,C & E) to process your standard information, name ,address, payment
information and article 9 2 (B) to process any sensitive data such as medical data.
Sign Section E (all applicants must sign the official Declaration where possible).
Alternatively, if you wish to have your next of kin sign their signature in the box on your behalf and print their name and state
relation to you (son/daughter/spouse/etc.) underneath. We will need a note enclosed from the Applicant confirming same.
If the applicant is in full time Residential Care, please contact our office before signing Section E.

Signed: Date:

If signing on behalf of the applicant, please also print your name in BLOCK CAPITALS below:

Payment Options
OR
Request Online Payment Service:
Debit / Credit Cards Contact 094 93 85003 for payment
MW DESIGN, PRINT & SIGNS - 094 93 77709

If you wish to make an online payment, please contact OR

us to request an emailed link whereby you can pay by
card over secure Portal. Cheque, Bank Draft or Postal Order
(made payable to the Disabled Drivers Association)
Please ensure we have a correct email address for you
on section A of the form.