I declare that to the best of my knowledge all statements I have made on this form are true. I understand action may be taken against me if I have provided false information in this application form.
I confirm that I do not currently hold a Disabled Person’s Freedom Pass which has been issued by a different local authority.
I understand that I must inform my local authority of any changes that may affect my entitlement to a Disabled Person’s Freedom Pass.
I confirm I am a permanent resident in the London Borough of Barnet.
I understand that my ongoing entitlement to the concession may be reviewed prior to the expiry date of the concession.
I agree that
- if my application is successful I will not allow any other person to use the Freedom Pass for their benefit
- I will use the Freedom Pass in accordance with the rules of the scheme as set out by the Department for Transport.
I also understand the terms outlined by London Councils if my pass is lost, faulty, damaged or stolen.
Barnet Council has a duty to protect the public funds it administers and may use the information you have provided for the prevention and detection of crime. We may also share information with other council departments or external organisations in order to undertake our functions as a local authority. We will always comply with the requirements of the Data Protection Act 1998 and never give information about you to anyone else, or use information for another purpose unless the law allows us. If you want to know more about how your information is used visit www.barnet.gov.uk/privacy