Submit a request – Blue Light Card

Please select a query below

Your email address

Subject of your query

Card application enquiry (for new & renewal applications)

What is your card application enquiry?

Is this a new or renewal application?

Email address on your account

Please give the email address linked to your account (if applicable)

Job role

Please give the job role currently registered on your account (if applicable)

Employer

Please give the employer currently registered on your account (if applicable)

Blue Light Card number

If you haven't got a Blue Light Card but you've paid for one, you can also provide your transaction reference number which can be found in your payment confirmation email and looks like 1234567-7654321.

Date of birth

Phone number(optional)

Further details

Please enter any further details relating to your request and provide relevant attachments below. A member of the team will follow up with you soon.

Attachments(optional)

Add file or drop files here