Application for people with mobility restrictions
Online application
If you wish to complete your application online, please follow these steps.
- Visit a Doctor or Occupational Therapist and ask them to complete and sign the ACROD Restricted Mobility Certificate which can be downloaded here.
- Scan or take clear photos of all pages of the ACROD Restricted Mobility Certificate.
- Optional: You may choose to provide additional medical reports (e.g. x-ray, test results, General Practitioner, Specialist, Physiotherapist or Occupational Therapist reports) in support of your application. Please scan or take clear photos of all pages of these documents, ready for upload.
- Upload the completed ACROD Restricted Mobility Certificate form (and other files if you choose to include them) to the online application form (mobility) here.
- Complete and submit the online application form.

Paper-based application
Alternatively, take the following steps to fill out the application form manually.
- Download the application form using one of the links below:
- Application form (mobility) in .PDF format – best suited for completing in hard copy or using Adobe Acrobat Reader; or
- Accessible application form (mobility) in MS Word (.DOCX) format
- Complete Section 1 (Applicant Details) of the form.
- Take the completed form to your Doctor or Occupational Therapist and ask them to complete and sign Section 2.
- Send the completed application form to:
- Email: acrod@nds.org.au; or
- ACROD Parking Program, PO Box 184, Northbridge WA 6865
- Once received, your application will be assessed by the ACROD Parking Program team. This may take up to 20 working days.
- If your application is successful, we will send you your ACROD Parking Permit by post. If not successful, we will send you a letter advising of the outcome, and providing information on our appeals process.
Application for people who are legally blind
To fill out the online application form (legally blind) click here.
Alternatively, take the following steps to fill out the application form manually.
- Download the application form using one of the links below:
- Application form (legally blind) in .PDF format (best suited for completing in hard copy or using Adobe Acrobat Reader); or
- Accessible application form (legally blind) in MS Word (.DOCX) format; or
- Accessible large print (18 point) application form (legally blind) in MS Word (.DOCX) format.
- Complete the form.
- Attach ONE of the following documents:
- Disability Support Pension – Blind card (front and back);
- Aged Pension – Blind card (front and back);
- Department of Veteran Affairs’ Blind Concession Card;
- Guide Dogs WA Dog Handler Card;
- Vision Australia Seeing Eye Dog ID Card;
- ACROD Low vision certificate form completed and signed by a specialist or a medical practitioner. You can download the ACROD Low Vision certificate form in .PDF format here;
- A report from a specialist or a medical practitioner (for example, an ophthalmologist, orthoptist, optometrist or GP) addressing the eligibility criteria and confirming legally blind status.
- Send the completed application form and the attached document to:
- Email: acrod@nds.org.au; or
- ACROD Parking Program, PO Box 184, Northbridge WA 6865
- Once received, your application will be assessed by the ACROD Parking Program team. This may take up to 20 working days.
- If your application is successful, we will send you your ACROD Parking Permit by post. If not successful, we will send you a letter advising of the outcome, and providing information on our appeals process.
Assessment of Applications
The ACROD Parking Program assessment team will assess each application against the eligibility criteria. If we need more information, the ACROD Parking Program team may:
- Contact the applicant (or legal guardian) to ask for additional information; or
- Contact the specialist or medical practitioner who signed the application form or attached documents to ask for additional information.
Depending on the applicant’s circumstances, we may issue a renewable or a temporary ACROD Parking Permit.
Renewable permits are issued to applicants who meet the eligibility criteria, and their condition is expected to last for the rest of their life despite treatment and therapy options. These permits are renewed every 2 years.
Temporary permits are issued to applicants who meet the eligibility criteria, and their condition is expected to improve, or may improve in the future. Temporary permits are issued for 6 or 12 months and can be extended once.
The ACROD Parking Program receives a high number of applications. Processing your application may take up to 20 working days from the date your application is received. This does not include mailing time. If your application is not successful, we will inform you about our appeals process.