LEZ Time-Limited Exemption Form

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Low Emission Zone: Time Limited Exemption Form
1. Please click on the headings below to complete the online form:
2. Contact Details
  
  Name of Registered Keeper*
  
  Organisation*
  
  Flat name/number
  
  Building name/number*
  
  Street*
  
  City*
  
  Postcode*
  
  Email address*
3. Vehicle Information
  
  Vehicle Registration Number*
  
  Vehicle Make*
  
  Vehicle Model*
4. Additional Vehicle Information
  
  Vehicle Registration Number
  
  Vehicle Make
  
  Vehicle Model
5. Additional Vehicle Information
  
  Vehicle Registration Number
  
  Vehicle Make
  
  Vehicle Model
6. Purpose
  
  Purpose of the vehicle (particularly in terms of specialist nature and use)*
7. Presence within the LEZ
  
  Anticipated presence of the vehicle within the Glasgow LEZ*
8. Supporting evidence
  
  Please provide any supporting evidence for why LEZ compliance has not been achieved within the established grace period*
9. Details of vehicle replacement or renewal programme
  
  Please provide details of your vehicle replacement and renewal programme or strategy, clearly demonstrating how efforts are being made to comply with LEZ emissions requirements in the quickest time possible*
  
  Please upload any additional evidence in support of your application e.g. details of replacement vehicles under order.
  
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