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.)

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

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.

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

License and Third Party Insurance Policy, if relevant.

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

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