National Disability Card Application Form

Apply for a National Disability Card
Do you already have an existing/expired National Disability Card?*

YesNo

National Disability Card Renewal Application
Has your card expired or will it expire within the next two months?*

Yes, it has expired or will expire within the next two months.No, my card is still valid for more than two months (but I need a replacement, e.g., due to loss, or I want an extra spare card.)

National Disability Card Renewal Application
If your card is lost, stolen or damaged but it has not expired, please apply for a replacement.

Click the button below to request a replacement card:

Apply for a Replacement Card >

If you need help or are unsure whether to apply for a replacement or renewal, please contact our support team for assistance on 01394 775 920 or email us at: info@disabilityid.co.uk

National Disability Card Renewal Application
Existing/expired National Disability Card Unique Card Number (UCN):
e.g, GB-1234578, UK-1234567891234567891
Existing/expired National Disability Card's expiry date:
e.g, 10/07/2023
I can't provide these details:

My card has been lost, stolen, damaged or destroyed. Please look me up on the system to retrieve my details.

Disabled Person's Information
First Name*
First Name of Disabled Person
Last Name*
Last Name of Disabled Person
E-mail*

Confirmation Emailexample@example.com
Phone Number*
In case we need to contact you about your application

Disabled Person's Date of Birth
Day of Birth:*
The day of the disabled person's birth eg 22.
Month of Birth:*
The month of the disabled person's birth.
Year of Birth:*
The year of the disabled person's birth.

Disabled Person's Photo
Photo of Disabled Person*

Cancelof
Your photo should:

• be facing forwards and looking straight at the camera

• have your eyes open and visible

• not have a head covering (unless it’s for religious or medical reasons)

• not have anything covering your face (unless for medical reasons)

• contain no other objects or other people (unless for medical reasons)

We understand that some circumstances may make these guidelines impractical, in which case simply provide the clearest photo you can.

Upload Evidence Documents
Please upload evidence of your disability. Below are some examples - scroll down to see more.
Upload evidence of disability*

You can take a photo of your document or upload a scan.
Cancelof
What type(s) of evidence have you uploaded?*

PIP Letter - Personal Independence Payments.Back of my Blue Badge.Doctor's Letter or Other Relevant Medical Letter.Disabled Persons' Freedom Pass.Disabled Persons' Bus Pass.DLA Decision Letter - Disability Living Allowance.War Pensioners' Mobility Supplement Letter.Other relevant document showing I am disabled.
Don't worry if you don't have exactly what is listed - we're here to help so send us something relevant that shows your name and that you are disabled.

Emergency Contact
We offer the option to include an emergency contact on your card. If you choose to provide this information, the QR code on the back of your card will direct to your designated emergency contact's phone number.

If you choose not to have an emergency contact, the QR code will simply link to our website.
Would you like an Emergency Contact QR code printed on your card?*

YesNo

Emergency Contact
Your emergency contact's number will be stored in a QR code on the back of your ID card this allows quick access without needing a data connection or login in an emergency.

Please enter the phone number exactly as it should be called. If it is not a UK number please also include the country code (e.g., +353).
Emergency Contact's Phone Number:*
I have double-checked the accuracy of the emergency contact phone number provided. I understand that if the number is incorrect, or if I need to change it in the future, I will be required to pay an administration fee and complete a replacement card form.
I confirm that I have obtained consent from the individual whose phone number is listed as my emergency contact. They are aware and consent to their phone number being encoded onto the physical ID card in the form of a QR Code and understand that it cannot be altered. Additionally, they understand that this phone number will be stored in our secure database solely for the purpose of reissuing an ID card, should the need arise.

Address for Card Delivery
Address Line 1*
Address Line 2
City/Town*
County
Post Code*

National Disability Card
I agree to the Terms & Conditions found at https://www.disabilityid.co.uk/terms-and-conditions
I agree to the Privacy Policy found at https://www.disabilityid.co.uk/privacy-policy

Checkout:*

National Disability Card

£20.00

Face Covering Exempt Lanyard & Holder

£5.00

Verified Hidden Disability Lanyard & Holder

£5.00

National Disability Card Lanyard & Holder

£5.00

RADAR Key - 0% VATI certify that I am disabled and that the RADAR key is for my own personal use, and I claim that the supply of it is eligible for relief under group 14 of schedule 5 of the Value Added Tax Act 1983.

£5.75 Quantity

Spare CardIf you require a spare duplicate copy of your card.

£10.00

Enter coupon

Subtotal

£0.00

Shipping

£0.00

Total

£0.00

Should be Empty:

Apply for a National Disability Card

National Disability Card Renewal Application

National Disability Card Renewal Application

National Disability Card Renewal Application

Disabled Person's Information

Disabled Person's Date of Birth

Disabled Person's Photo

Upload Evidence Documents

Emergency Contact

Emergency Contact

Address for Card Delivery

National Disability Card