Online Form - Parking Permit Application Form

Name *

Address *

Phone number *

Email address *

Are you the owner of the property? *

YesNo

If no, please provide proof of occupancy (for example, tenancy agreement, utilities bill etc.)

Maximum size of ALL attachments is 976.56 MB

Do you reside at the property?

YesNo

Number of residential permits being requested? *

012

If applying for residential permits, please provide the vehicle Registration / Make / Model / Colour

If applying for residential permits, please provide a copy of the License and Third Party Insurance Policy issued by the Department of Transport for each permit.

Maximum size of ALL attachments is 976.56 MB

License and Third Party Insurance Policy, if relevant.

Maximum size of ALL attachments is 976.56 MB

Number of visitor permits being requested? *

012

I understand that the Town will be in contact to receipt payment of the approved parking permit(s) in accordance with the Schedule of Fees and Charges - please refer to website. *

Yes

I declare I am a resident of the address provided and that the above information is, to the best of my knowledge, true and correct. *

Yes

I have read and understand the condition applicable for Residential & Visitor Parking Permits in accordance with the Town of Cottesloe's Parking and Parking Facilities Local Law and Parking Permit Policy. *

Yes

Signature *

How can we help you?

Online Form - Parking Permit Application Form