Volunteer Driver Forms

If you have applied as a volunteer driver or need to update your details, please click the relevant button below for the correct form.

Driver's Declaration Update car details Update driver's licence

Driver’s Declaration

Before completing this form please obtain a ‘check code’ to access your driver licence details. Drivers must follow the link below to be issued a ‘check code’. This code will be required to complete the form and allow us to check your licence. Click the button below to obtain this.

Obtain check code Read government guidance on fitness to drive

Volunteer Driver’s Declaration

"*" indicates required fields

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Driver’s details

Please enter your full name:*

First Last

Address*

Street Address Address Line 2 City County Postcode Country

Date of birth:*

Day

Month

Year

Volunteer role:*

Department/shop:

Have you had an insurance proposal declined, a policy cancelled, been required to pay an additional premium or had special conditions imposed by a motor insurer?

Yes

If yes, please provide details:

We require a ‘check code’ to access your driver licence details. This code should be entered below for us to access this information. The code is case sensitive so please copy and paste, or enter it exactly as shown on the screen.

Licence Check Code*

Please copy and paste this exactly as shown

Fitness to Drive

Driver’s medical details for fitness to drive

Do you have a DVLA notifiable condition?*

Yes

If yes, have you reported the condition to DVLA & have you received approval to drive with no restrictions?

Yes

Do you need to wear corrective lenses /glasses for driving?*

Yes

If yes, have you had your eyesight examined within the past 2 years?

Yes

Do you take medicines or prescribed drugs that may induce drowsiness or otherwise impair your driving?*

Yes

If yes, are you willing to take a medical examination by a doctor to confirm your fitness to drive?

Yes

Driver’s licence and Car details

Driver licence type & number*

Country of issue*

If you drive your own car for hospice purposes, please enter your car registration. A copy of your insurance certificate will need to be provided prior to driving for the hospice.

This is used to check that the car has a valid MOT (if applicable) and current insurance

Details of any pending traffic convictions

Please give details of any pending traffic convictions. Existing convictions will be checked on the gov.uk website.

Details of any traffic accidents regardless of blame

Accident 1 – Date

Accident 1 – Brief Details

Accident 2 – Date

Accident 2 – Brief Details

Confirmation

I confirm that the above information is a true & accurate record to the best of my knowledge at the time of completing this form. I agree to inform my manager if these details change.*

I agree

Today's date*

Update Car Details

Please complete this form to give us details of your car insurance and MOT if you still drive your own car for the hospice.

If you no longer drive your own car for us, or no longer drive at all for us, please indicate this on the form.

You must tell us if details of your driver’s licence changes, e.g. you have penalty points added to your licence. This is a condition of our insurance.

Also, please let us know if you drive your own car and your car details change.

Volunteer Driver: Car Details

"*" indicates required fields

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Please enter your full name:*

First Last

Do you drive your own car for hospice purposes?*

Yes

No, I only drive hospice vehicles

I no longer drive for the hospice

Car Registration:*

Insurance expiry date:*

Day

Month

Year

MOT expiry date or date first MOT due for cars less than three years old*

Day

Month

Year

If changed recently, please enter your new home address:

Street Address Address Line 2 City Postcode Country

I confirm that the information I have submitted is a true & accurate record to the best of my knowledge at the time of completing this form. I agree to inform my manager if these details change.*

I agree

Update Driver’s Licence

Obtain check code Read government guidance on fitness to drive

Volunteer Driver: Licence Details

"*" indicates required fields

Step 1 of 6

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Driver’s details

Please enter your full name:*

First Last

Your Volunteer ID (if known)

Do you still drive as part of your volunteer role?*

Yes

What type of vehicle do you drive?*

Own vehicle

Hospice vehicles

Both own and hospice vehicles

If changed recently, please enter your new home address:

Street Address Address Line 2 City County Postcode Country

Drivers Licence Number:*

Country of issue*

Licence Check Code

Please copy and paste this exactly as shown

If you are aged 74 or over, please enter your date of birth:

Day

Month

Year

This is for insurance purposes.

Fitness to Drive

Driver’s medical details for fitness to drive

Do you have a DVLA notifiable condition?

Yes

If yes, have you reported the condition to DVLA & have you received approval to drive with no restrictions?

Yes

Do you need to wear corrective lenses /glasses for driving?

Yes

If yes, have you had your eyesight examined within the past 2 years?

Yes

Do you take medicines or prescribed drugs that may induce drowsiness or otherwise impair your driving?

Yes

If yes, are you willing to take a medical examination by a doctor to confirm your fitness to drive?

Yes

Details of any pending traffic convictions

Please give details of any pending traffic convictions. Existing convictions will be checked on the gov.uk website.

Details of any traffic accidents regardless of blame

Accident 1 – Date

Accident 1 – Brief Details

Accident 2 – Date

Accident 2 – Brief Details

Confirmation

I confirm that the above information is a true & accurate record to the best of my knowledge at the time of completing this form. I agree to inform my manager if these details change.*

I agree