D T Logo White

Trainee Authorised Driver Form

For team members using pool cars, hire cars, and private vehicles for business use.

If you will be driving your own car or require the use of a pool car at any time for your role, you will need to complete this form upon commencing employment with the company and on an annual basis.

Mileage can only be claimed for those who have business cover on their insurance.

Please refer to the Policy for team members using Vehicles on Company Business for more information within the Team Member Handbook.

"*" indicates required fields

Name*
Please confirm your driving licence expiration date*
DD slash MM slash YYYY
Please confirm your insurance expiration date*
DD slash MM slash YYYY

Please upload a copy of your car insurance policy*

Accepted file types: jpg, png, pdf, Max. file size: 256 MB.

Does your insurance include business travel?*

Business travel*
You will need business cover to use your car for work purposes, excluding your regular commute.

You can obtain your code here.

Please make your check code clear as it is case sensitive. The code is only valid for 21 days once you have received it.

Please enter a number from 0 to 12.

I authorise the company to access information regarding my driving license and insurance for the car detailed above. The information which the company access includes, but is not limited to, the types of vehicles I can drive, any penalty points, offences or disqualifications I may have and whether the vehicle has an up-to-date Tax and MOT.

I declare to the best of my knowledge and belief that I am in good health and my ability to drive on company business (including Group Company business) does not in any way present a risk to me, my passengers or other road users. I understand that it is important that I satisfy myself that I am in good health whenever I engage in driving duties. If at any time my ability to drive may be affected for whatever reason, I will not drive and I will raise this issue with my manager and/or Director, and if necessary I will contact my GP.

I understand that I will be required to complete this authorised driver form every 12 months or as required and produce all relevant documents required for inspection. I understand that I have read and understood the policy on driving on Company business and that I will follow the requirements as laid out within this policy

By signing this authorised driver form, I give consent for the health and safety representative at my place of work to carry out the required checks, access my DVLA record via my Check Code and to have access to all information as stated above. This information will be treated as private and confidential.

Declaration confirmation*