Vocational Driving Licence D2 and D4 Forms Completion Guide
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1 2016 Vocational Driving Licence D2 and D4 Forms Completion Guide
2 This page must be completed by the applicant. Section 1 What are you applying for? You will need to put an X against all that apply to you. Section 2 Your details You will need to fill in your personal details, including any details that have changed since your last licence was issued. Section 3 Your eyesight and your hearing Please see Important Notes in section A. For more information go to Organ donation (Optional) You can register your details on Your conduct: If you are applying for lorry entitlement, you must give details of findings of guilt, fixed penalties and cautions related to drivers hours or records, roadworthiness or loading vehicles. If you are applying for minibus or bus entitlement, you must give details of findings of guilt, fixed penalties and cautions for offences not related to driving. You must tell us about any driving offences committed by you. 2
3 This page must be completed by the applicant. Section 4 Your health Please see Important Notes section A. For more information go to Section 5 Your proof of identity You will need to provide proof of identity if you are: 1. Applying for your first photocard. 2. Changing your name as part of the application. Section 6 Signing a photo to verify identity You will require someone suitable to sign the back of your photo unless you have provided one the following forms of identification: Passport Travel document Biometric Residence Permit (BRP) EU/EEA National Identity card The person signing the photo MUST: Be resident in the UK Know you personally Not be a relative 3
4 Any questions not answered on the application forms may result in your application being sent back to you delaying the issue of your licence What are you applying for? Section 1 on D2 Do I need to fill in Your eyesight and your hearing? Section 3 on D2 Do I need to fill in Your health? Section 4 on D2 Is a D4 Medical examination report for a Group 2 (lorry or bus) licence required? First Provisional entitlement Yes No Yes Yes, unless you have enclosed Additional provisional entitlement Yes a D4 Yes if last D4 was submitted over year ago Military Drivers only Yes No No (Pro forma) To change my name and/or address on my licence No No No To replace my licence as it has been lost/stolen/defaced/destroyed No No No To renew my licence at age 70 or over To renew my licence with full entitlement To renew my provisional entitlement Yes Yes Yes Yes, unless you have enclosed a D4 Yes, unless you have enclosed a D4 Yes, unless you have enclosed a D4 To renew for medical reasons Yes Yes Maybe To renew my licence as it was revoked (not for medical reasons) No No No Yes If retaining C1/D1 Yes If VOC is required/expired Yes If VOC is required/expired To renew my licence as i was disqualified Yes Yes Yes If VOC is required/expired To surrender entitlement No No No To exchange my licence after passing a test No No No To exchange my licence: To add provisional motorcycle entitlement No No No To exchange my licence: TO remove expired 25kw motorcycle restriction No No No To exchange my paper licence for a photocard licence No No No To exchange my northern Ireland licence Yes Yes Only if the driver is over the age of 45 and the vocational categories on the No licence have expired. Or; 4 To exchange my non-uk licence for a GB licence Yes Yes Only if the driver is over the age of 45.
5 This page MUST be fully completed by the applicant. The information provided will help us process your application. 5
6 Questions 1 to 10 This page MUST be completed by a Doctor or Optician/Optometrist All questions 1 10 MUST be answered unless sight correction is not needed on question 4 then questions 5 and 6 can be ignored. If any of questions 7 8 have been answered yes, then details should be provided in the details/additional information box. If the date of the eyesight examination is different to the date of the signature, the date of the eyesight examination must be provided. The date of the eyesight examination must be no more than 3 months of the date the application is made. If it is more than 3 months the application cannot be processed and the application will be returned to the driver. The doctor/optician must provide the following information: Name Signature Date of Signature GOC, HPC or GMC number Doctor/optometrist/optician s stamp 6
7 This page MUST be completed by a Doctor Section 1 Nervous System Questions 1 4 MUST be answered Question 1 If answered No, questions a to f do not have to be answered If answered Yes, questions a to f MUST be answered. Question 2 If answered Yes details MUST be given in Section 6 Further Details on page 6. Question 3 If answered Yes, details must be give in Section 6 Further Details on page 6 Question 4 If answered No, questions a to h do not have to be answered If answered Yes, questions a to h MUST be answered and relevant reports supplied. Section 2 Diabetes Mellitus If answered No, questions 2 to 7 do not have to be answered If answered Yes, questions 2 to 7 MUST be answered 7
8 This page MUST be completed by a Doctor Section 3 Psychiatric Illness Questions 1 to 7 MUST be answered. Unanswered questions will mean the application cannot be processed. All relevant hospital notes must be enclosed. Details of any specialist clinic(s) must be given in Section 7 - Consultants Details on page 7. Section 4 Cardiac Section 4a Coronary Artery Disease If there is no history or evidence of Coronary Artery Disease questions 1 to 4 do not have to be answered. If there is history or evidence of Coronary Artery Disease questions 1 to 4 must be answered. Section 4b Cardiac Arrhythmia If there is no history or evidence of Cardiac Arrhythmia questions 1 to 4 do not have to be answered If there is a history or evidence of Cardiac Arrhythmia questions 1 to 4 must be answered. Section 4c Peripheral Arterial Disease (excluding Buerger s Disease, Aortic Aneurysm/Dissection If there is no history or evidence of any of the conditions in questions 1 to 5 they do not have to be answered. If there is a history or evidence of any of the condition in questions 1 to 5 they MUST be answered. Details must be given in Section 6 on page 6. 8
9 This page MUST be completed by a Doctor Section 4d Valvular/Congenital Heart Disease If there is no history or evidence of valvular/congenital heart disease, questions 1 to 6 do not have to be answered. If there is history or evidence of valvular/congenital heart disease, questions 1 to 6 must be answered. * Details must be given in Section 6 on page 6. Section 4e Cardiac Other If there is no history or evidence of any of the conditions in questions a to c then they do not have to be answered. If there is history or evidence of any of the condition in question a to c then these questions must be answered. Details must be given in Section 6 on page 6. Section 4f Cardiac Investigations Questions 1 to 6 must be answered. Section 4g Blood Pressure Questions 1 and 2 must be answered 9
10 Section 5 General This page MUST be completed by a Doctor Questions 1 to 11 must be answered Section 6 Further Details Any detail from the previous questions should be recorded in this section. If this section is not completed as instructed your application will not be processed. 10
11 This page MUST be completed by a Doctor Section 7 Consultant s Details The application will not be processed if this section has not been filled in as instructed Section 8 Medication The application will not be processed if this section has not been filled in as instructed. Section 9 Additional Information The application will not be processed if this section has not bee filled in as instr4ucted Section 10 Doctors Details You must ensure that your Doctor has provided their personal details as follows: Name Address Telephone Number address Fax number Your GP must also provide: GMC registration number Signature Date of examination Missing information may result in your application being returned 11
12 Your Details This page MUST be completed by the applicant You must provide the following details: Full Name Address Date of birth Applicant s consent and declaration To provide consent you must provide your name, signature and date making sure the relevant box in this section is ticked. Failure to fully complete this page may result in the application being returned and delaying the process. Please note that we cannot accept a medical report which has been done more than 4 months before your application is received at DVLA. 12
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