
Document checklist
Make sure you have enclosed the following
where they apply.
Tick the appropriate boxes.
The correct fee
■■
(See leaflet INS115 for fees
and details on how to pay.)
Amount
Cheque or postal
order number
Identity documents (if this applies)
■■
Your last licence (and counterpart
if this applies) ■■
Your test pass certificate
(if this applies) ■■
You may wish to use a secure delivery
service to send your identity documents
to us. Enclose a pre-paid secure envelope
for us to send these back to you.
You must fill in either part A or part B or we will send your
application back to you.
If you have already told us about a medical condition that could
affect your fitness to drive – and you have no new medical condition
– miss out part A and go on to part B of this section.
Part A
Have you ever had, or do you currently suffer from
any of the following conditions? No
■■
Yes
■■
If you have answered ‘Yes’, please tick all the appropriate boxes.
1 Epilepsy
■■
2 Fits or blackouts
■■
3 Repeated attacks of sudden disabling giddiness
■■
4Diabetes controlled by insulin
■■
5Diabetes controlled by tablets
■■
6 An implanted cardiac pacemaker
■■
7 An implanted cardiac defibrillator (ICD)
■■
8 Angina (heart pain) which is easily brought on by driving
■■
9 Persistent alcohol misuse or dependency
■■
10 Persistent drug misuse or dependency
■■
11 Parkinson’s disease
■■
12 Narcolepsy or sleep apnoea syndrome
■■
13 Stroke, with any symptoms lasting longer than
one month, recurrent “mini-strokes” or TIAs
■■
14 Any type of brain surgery, severe head injury
involving inpatient treatment, or brain tumour
■■
15 Any other chronic neurological condition
■■
16 A serious problem with memory or periods of confusion
■■
17 Severe learning disability
■■
18 Serious psychiatric illness or mental ill health
■■
19 Total loss of sight in one eye
■■
20 Any condition affecting both eyes, or the remaining eye
if you only have one eye
(not including colour blindness or short or long sight)
■■
21 Any condition affecting your visual field
■■
22 Any persisting limb problem which needs
driving to be restricted to certain types
of vehicle or those with adapted controls
■■
•
Keep your signature within the white box
•
•
Keep your signature within the white box
•
Your signature
8
We no longer issue paper licences. Your new licence will be a plastic photocard, a paper counterpart will accompany it. You must produce
both if the police or a court ask for them. You should also present both when taking a driving test. Other organisations such as vehicle-hire firms
and insurance companies could ask to see both.
Your health
5
Part B
Only fill in this part if you have told us about
a medical condition before.
What is the condition?
Has it got worse since you told us about it? ..............No
■■
Yes
■■
Have you had any special controls fitted to your
vehicle since your last licence was issued?...............No
■■
Yes
■■
Post Office
™
date stamp
Tick the documents you are providing to prove your
identity – see pages 6, 7 and 8 of INF1D for more details.
Photocopies are not acceptable.
Passport
■■Your UK birth or adoption certificate ■■
EC or EEA identity card ■■ Travel Document ■■
Evidence of SRP (State Retirement Pension) ■■
Also, please write the identity number of the document you are providing.
Tick the documents you are also providing to show a clear link to
your current name if different from that shown on your passport,
birth certificate or adoption certificate.
Marriage certificate
■■ Divorce certificate ■■
Your deed poll or statutory declaration ■■
Also, please write the identity numbers of the documents you are providing.
If you are providing identity documents other than an up-to-date UK, EC or
EEA passport, someone reliable must sign the back of your photograph.
(See page 8 and 9 of INF1D for more details.)
Warning: This person must have known you personally for at least two
years, and must not be a relative or a member of the Post Office
™
staff processing the application, if you choose to use the Premium
Checking Service – see page 13 of INF1D for more details.
TO BE FILLED IN BY THE PERSON SIGNING YOUR PHOTOGRAPH.
State how many years you have known the applicant:
■■
years
This MUST be at least 2 years.
I have signed the back of the photograph which is a true likeness
of the applicant.
Signature Date
Full name
Signing your photograph
7
Business or home address
Postcode
Full daytime phone number
Profession Qualifications
Warning: We will make random checks on those who sign
photographs for driving licence applications.
Confirming your identity
6
PLACE PHOTOGRAPH
FACE UP
See page 9 and 10
of INF1D
➦
➦
➦
➦
Peel here
Peel here
You must read pages 6 to 10 of the INF1D before filling in
section 6 and 7. Do not fill in sections 6 and 7 or supply a new
photograph if you have a photocard licence, unless you are
registering a change of name, photograph or signature. UK
birth/adoption certificates are not acceptable as sole proof of
identity and we may ask for further evidence. We are unable to
verify details on non-UK birth certificates and they cannot be
accepted as proof of identity.
I understand that it is a criminal offence if I make, or anyone else makes, a
false declaration to get a licence and to do so can lead to prosecution and
a fine of up to £2500. I also understand it is an offence to fail to provide
information which can lead to prosecution with a fine of up to £1000.
See page 11 of INF1D.
We will not accept this application unless you sign below in
black ink and your signature is completely within the white box.
Date
If you have answered YES to one of the above questions you may be
required to complete a medical questionnaire. Questionnaires are
available on the DVLA website http://www.dvla.gov.uk to be sent in with
your application.
Important