My additional driver is

They are

They have always been a UK resident

True

False

They have lived in the UK since

They have a

My employment status is currently

working as a

within the

They also have another job

Yes

No

My employment status is currently

working as a

within the

I confirm they

medical conditions or disabilities that need to be reported to the DVLA

Driver history

Have they ever had insurance cancelled, void or declined?

Yes

No

Do they have any unspent non-motoring criminal convictions?

Yes

No

Accidents & Claims

Yes

No

In the last five years have they suffered any accidents, claims or losses regardless of blame (whether covered by insurance or not) or incidents that haven't yet been settled, including any claims or losses for fires and thefts?

Motoring Convictions

Yes

No

Have they got any present or pending motoring convictions or disqualifications that have occurred in the last five years?