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This form should only be used to apply for a temporary replacement vehicle to be registered on your existing Home to School Transport (PSV) Exemption for the Clean Air Zone.

If after you have submitted this form you need a longer period of time to keep the replacement vehicle on the exemption please submit a new form.

Company nameYou need to tell us the company name

Company addressYou need to tell us your address

Your address including your postcode.

Contact nameYou need to tell us your name

Contact email addressYou need to tell us your email

Contact phone number

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