Driver ×
My additional driver is
 
 
 
 
They are
 
 
They have lived in the UK since
 
 
 
They have a
 
 
 
My employment status is currently
 
working as a
 
within the
 
 
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
 
 
 
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?
 
Have they got any present or pending motoring convictions or disqualifications that have occurred in the last five years?