Leicester City Council The National Concessionary Travel Scheme for Senior Citizens Information and form for new applicants A senior citizen concession pass entitles you to: Free bus travel: Your pass will enable you to travel free on local buses in all parts of England between 9.30am and 11pm, Monday to Friday and all day on weekends and bank holidays. Half fare bus travel: You will be able to travel for half fare before 9.30am, Monday to Friday, as long as your journey begins in Leicester. Half fare train travel: Passes are valid for half fare train travel at all time on journeys between Leicester and stations in Leicestershire, and between Leicester and Derby, Nottingham, Grantham, Peterborough, Kettering and Nuneaton. New applicants – how can I apply? Contact customer services: You can apply either by post or in person at one of Customer service centre, York House, our customer service centres. All applications 91 Granby Street, Leicester LE1 6FB made in person are processed whilst you wait. New Parks Customer Services, You will need to supply proofs of entitlement at the 321 Aikman Avenue, Leicester LE3 9PW time of your application: a document showing your date of birth and proof of residency in Leicester. If T: 0116 454 1000 applying by post, you can send photocopies of E: [email protected] these documents, and you will need to include a W: www.leicester.gov.uk passport-sized photograph with your name on the back. Please visit www.leicester.gov.uk for details of opening hours. If applying by post, send your application and Eligibility supporting documents to: From 6 April 2010, the age of eligibility for a pass Senior Citizens Travel Scheme, changed in line with government pension Customer Services, York House, regulations. The table below sets out eligibility 91 Granby Street, Leicester LE1 6FB dates for men and women. Your proof of entitlement will be returned to you Date of Birth Eligibility Date with your pass. Please allow 5 working days for On or before 5 Mar 1952 Already Eligible issue. 6 March to 5 April 1952 6 March 2014 6 April to 5 May 1952 6 May 2014 How do I get a replacement travel pass? 6 May to 5 June 1952 6 July 2014 6 June to 5 July 1952 6 Sept 2014 If your circumstances have changed, e.g. if you have moved house within or outside the city or you 6 July to 5 Aug 1952 6 Nov 2014 have lost your travel pass, you can request a new 6 Aug to 5 Sept 1952 6 Jan 2015 one by contacting one of our customer service 6 Sept to 5 Oct 1952 6 March 2015 centres in person or by telephone, or write to us at 6 Oct to 5 Nov 1952 6 May 2015 the address above. 6 Nov to 5 Dec 1952 6 July 2015 6 Dec 1952 to 5 Jan 1953 6 Sept 2015 6 Jan to 5 Feb 1953 6 Nov 2015 6 Feb to 5 Mar 1953 6 Jan 2016 6 Mar to 5 April 1953 6 Mar 2016 Leicester City Council senior citizens’ travel passes - new applicants Please complete this section if you are applying by post only. Return the completed application, a photograph with your name written on the back and proof of age and address. You do not need to complete this section if applying in person. Please use BLOCK CAPITALS using one letter to a box and leaving a space between words. SECTION 1 Title (Mr, Mrs, Miss) Date of birth Surname or family name First or given names Address Flat number House number/name Street Village or town Postcode Telephone: SECTION 2 Do you hold a Leicester City Council or a Leicestershire County Council disabled person's concessionary travel pass (or tokens)? Yes No (tick one box) SECTION 3 I declare that: (a) I am resident in Leicester at the above address. (b) I am eligible by age for the Leicester Senior Citizens' (c) If I move out of Leicester, I will return my concession Travel Scheme. Signature: Date: You must include a photograph and proof of age. The data collected is in accordance with the Data Protection Act 1998. Data will only be used for the purpose outlined in this leaflet. However, the city council is under a duty to protect the public funds it administers, and to this end may use the information you provide on the form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. If you require further information, please see the city council’s website: www.leicester.gov.uk Ethnic origin We are keen to see all sections of the community take up the benefits they are entitled to. Your co-operation in filling out this section would therefore be appreciated. I would describe my ethnic origin as White: Black or Black British: Asian or Asian British: British Caribbean Indian Irish African Pakistani Polish Other Black background, please state Bangladeshi Other Eastern European Other Asian background, please state Other White background, please state Gypsy or Traveller: Gypsy What is your religion or belief? Mixed Heritage: Roma No religion/belief White and Black Caribbean Irish Traveller Christian White and Black African Other Gypsy or Traveller background, Buddhist White and Asian please state Hindu Other dual heritage background, please Jewish state: Muslim Other ethnic group: Sikh Chinese Other, please state Arab Other ethnic group, please state: .