Apply for a Companion Card

This form is to apply for your first Companion Card. If you are not able to upload all the documents required, we will not be able to process it. Please click here instead to renew an expiring pass, or replace a lost, stolen, faulty or damaged Companion Card.

Type of pass you are applying for

Companion Card

Title

First name(s)

Surname

House number/name

Street

Town

Postcode

Telephone

Date of birth

Please provide all of the following documents:

Passport style photo

One file only.
8 MB limit.
Allowed types: gif, jpg, png, svg.

Proof of address

Could you please supply proof of your address i.e.a current Council Tax bill, a utility bill dated within the last 6 months or any official Government documentation, also within 6 months, so we may issue the pass.
Please note we cannot accept bank letters or statements
One file only.
8 MB limit.
Allowed types: gif, jpg, png, svg.

Confirmation of Eligibility form (if you don’t already hold a Nexus ENTS pass)

One file only.
8 MB limit.
Allowed types: gif, jpg, png, svg.

Proof of entitlement (either PIP score letter or DWP letter)

One file only.
8 MB limit.
Allowed types: gif, jpg, png, svg.

Proof from an employer or educational body that they attend in excess of 15 hours per week on a long term basis (if applying for all-day pass)

One file only.
8 MB limit.
Allowed types: gif, jpg, png, svg.

Please help us block spam submissions by completing this automation check