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Nottinghamshire County Council - Proud of our past, ambitious for our future
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Mobility Needs Register

Please tell us about your mobility needs.

» Indicates required fields

Mobility Needs Register
Your Name
Your Address
Other Details
Search Details
Only complete this section if you were using the site to perform a search for a transport provider. Otherwise, go to the next Section
What were your journey needs?
What was your journey purpose?
What day of the week were you travelling?
What time were you intending to travel?
Were you needing to book a return journey as well?
Disability Living Allowance
Are you in receipt of the Mobility Component of the Disability Living Allowance?
Is this paid at the Higher Rate?
Other Comments
Please give other details about your mobility needs, or full information if not covered in the previous Sections

Data Protection Act 1998 - We will only process your personal data in order to respond to your comments or suggestions. In general it will be used for administrative and statistical purposes.

 

Thank you for completing this form.

We will look at the information supplied and contact you with a response.

 

 

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