Apply Online

Please note:
This application form is only for Older Person’s or Disabled Person’s bus pass applications

Details in bold and marked with an asterisk (*) must be completed. For help and data protection information on a field simply click the question mark icon next to it.

Tell us who you are:
 /  /
Enter your contact details:
Please enter your email address. This will also be used as your login name if you choose to register for a web account:

A dummy email account will be set up for you allowing you to login to this portal. You will not be able to use this email account to send or receive email.

Please can we use your contact details to keep you up-to-date with our latest offers and services? Be assured we will not share your details with any external organisations.
I confirm that I have read and understood the Terms and Conditions.

The password should conform to the following rules:
  • It must be at least 8 characters in length
  • It must contain at least one alphabetic character
  • It must contain at least one numeric character
  • It must contain at least one non alpha/numeric character
  • It must be changed every 6 months