1 Start 2 Reason For Appeal 3 Complete If you do not qualify for a Blue Badge you will receive a letter which will detail the reason your application was declined. If you wish to appeal against the decision, please provide your details: Title * - Select -MrMrsMissMsDrLordLadyOther First Name * Last Name * Phone Number * Mobile Number Email Address * House / Building Number * House / Building Name Postcode * Leave this field blank Next Page >