Your Name (required) Your Email (required) Telephone (required) Mobile Number Address Line 1 (required) Address Line 2 Town/City (required) County (required) Postcode (required) Date of birth (required) I wish to apply for the toll exemption tickets for vehicle registration Vehicle Registration (required) Requirements Please upload the following: Photocopy of your Contract Hire Agreement (all 3 pages) I can confirm that I understand the exemption may only be used whilst I the disabled person am in the vehicle tick here Photocopy of your Contract Hire Agreement (all 3 pages) Must be all 3 pages 7+