Driver
×
My additional driver is
Title
Mr
Mrs
Miss
Ms
Dr
Judge
Lady
Lord
Professor
Reverend
Sir
He/She is
Select option
Divorced
Married
Single
Civil Partnered
Widowed
He/She has always been a UK resident
True
False
They have lived in the UK since
He/She will use the car for
Commuting Use
Daily
Frequently
Infrequently
Main User
Never
Weekly
He/She has access to other cars for
No access to any other cars
Own other car
Named driver on another car
Company car (Including Social Use)
Company car (Excluding Social Use)
Own or have use of a motorcycle
Own or have use of a van
He/She has a
Licence
Full Licence
Full UK (Automatic Only)
Provisional Licence
Full EU/EEA
International Driving Permit
Their relationship to me is
Spouse
Parent
Child
Common-Law
Brother or Sister
Civil Partnered
None
His/Her employment status is currently
Employment Status
Club/Association
Director
Employee
Full Time Education
Government
Houseperson
Limited Company
Other
Prop/Partner
Retired
Self Employed
Unemployed
working as
within the
He/She also has another job
Yes
No
His/Her employment status is currently
Employment Status
Club/Association
Director
Employee
Full Time Education
Government
Houseperson
Limited Company
Other
Prop/Partner
Retired
Self Employed
Unemployed
working as
within the
I confirm he/she
Please select
do not have any
do have
medical conditions or disabilities that need to be reported to the DVLA
Have the DVLA restricted their licence?
DVLA Aware – No Restrictions
DVLA Aware – Restricted Licence
DVLA Unaware
Doctor Advised Not To Drive
Additional driver history
In the last 5 years has he/she had any insurance products cancelled or declared void by an insurer?
Yes
No
Do he/she have any unspent non-motoring criminal convictions?
Yes
No
Has he/she had any accidents, claims or suffered any losses in the last 5 years, regardless of fault?
Yes
No
Add new claim
Has he/she had any motoring offences including convictions, endorsements, fixed penalties, bans or points in the last 5 years?
Yes
No
Add new conviction