Changing a Driver

What vehicle registration does this change apply to?:

Salutation

Name of the policy holder:

Current policy postcode:

1st line of the address:

Name of driver being removed:

New drivers full name:

New drivers date of birth:

When do you want this driver added from?

New drivers occupation:

Additional drivers employment status:

Do they have any part time occupations or involvement in any other businesses?

What is their marital status?

What is their relationship to you?

Do they have any disabilities notifiable to the DVLA?

Are they a UK resident?

How long have they been a UK resident?

Licence Type

What is the valid from date on the back of their licence?

What will they be using the vehicle for?

How frequently will they be driving this vehicle?

Has the driver ever been subject to any county court judgements, sheriff court decrees, bankruptcy, insolvency, administration or receivership?

Have they ever been convicted, charged or given an official police caution for any non-motoring offence?

Have they had insurance declined, cancelled, voided, renewals refused, or special terms imposed?

In the last 5 years have they had any motoring incidents, accidents or claims including theft whether they claimed or not, regardless of fault on any policy?

Incident/Claim date

Was this on the driver's own policy?

Status of claim

Was the driver's no claims bonus affected?

How much was paid out from the claim, including personal injury, if known?

Circumstances of the claim

In the last 5 years have they had any motoring convictions, endorsements or fixed penalties upon their licence?

Do they have any pending prosecutions for any motoring offence?

Have they ever been disqualified from driving?

**Providing the below details for the additional driver allows us to obtain a copy of their online driving record from the DVLA. This will enable us to speed up our validation process should you chose to proceed**

National Insurance number:

Full driving licence number:

Postcode of the driver being added:

Please note, any questions left unanswered may result in delays when obtaining your quotation. Your insurer may also require additional information not outlined in this form