Homepage Fillable D1 Dvla Template

File Details

Fact Name Description
Application Purpose The D1 DVLA form is primarily used for applying for a driving licence in the UK.
Requirements Applicants must read the booklet INF1D to understand the requirements and instructions for filling out the form.
Health Disclosure Section 5 of the form requires applicants to disclose any medical conditions that may affect their ability to drive.
Identification Applicants must provide valid identification documents, such as a passport or birth certificate, to confirm their identity.
Legal Framework The application process is governed by the Road Traffic Act 1988 and associated regulations.

Sample - D1 Dvla Form

Back of photograph
lenses when driving?

Application for a driving licence

You must read booklet INF1D when filling in this form.

Information about the Premium Service available at selected Post Officebranches and DVLA local offices is also in this booklet. See leaflet INS115 for information on fees.

D1

Please use BLOCK CAPITALSand fill in this form in black ink. If you want to apply for a LGV or PCV licence, you need to fill in a D2 application form. See page 12 of the INF1D for details of where to get this form.

1Your details

Surname

First names

Mr Mrs Miss Ms

Other title

 

Male Female

(for example, Rev)

Day Month Year

 

Date of birth

■■ ■■ ■■■■

What is your UK driver number (if you know it)?

■■■■■■■■■■■■■■■■

Current address

Post town

Postcode

Place of birth (country)

 

Full daytime phone number

E-mail address

Has your name or address (or both) changed

No Yes

since your last licence was issued?

If ‘Yes’, write the previous details below.

 

 

 

 

 

1a Residency

Have you lived in another EC or EEAcountry in the last 12 months? No Yes

If ‘Yes’, which country?

Day

Month

Year

What date did you come to

live in the UK? ■■ ■■ ■■■■

2Your eyesight

You must fill in both questions 2a and 2b

a Can you read a car number-plate (with glasses

or corrective lenses if necessary) from 20.5 metres

(67 feet) or 20 metres (65 feet) where narrower

characters (50mm wide) are displayed?

Yes No

b Do you need to wear glasses or correctiveYes No

3The licence you want

Start date Your licence starts on the day we issue it. You can ask for your licence to start from a later date but this cannot be more than two months after the day you apply.

Day Month

Year

 

■■ ■■ ■■■■

 

Please tick the licence you want.

Provisional

 

If you are 16 and getting Disability Living Allowance

(mobility component) at the higher rate, and want to drive a car

Replacement

 

 

 

 

 

Replace my licence due to a change of name or address

 

(or both). I am enclosing my current driving licence.

 

Duplicate

 

 

 

 

 

My licence has been:

 

 

 

 

 

lost or stolen

defaced

destroyed

 

Exchange

 

 

 

 

Change my licence following a test pass.

 

 

Enter categories in the box.

 

 

 

 

 

 

 

Remove expired endorsements or suspension details.

 

Add provisional motorcycle entitlement.

 

 

Exchange my paper licence for a photocard licence.

 

Change my photograph.

 

 

 

 

Exchange my Northern Ireland licence.

 

 

Exchange my foreign licence for a British one.

 

Whichcountryissuedit?

 

 

 

 

 

 

DidyoupassyourtestinthatCountry?

Yes

No

 

If ‘No’, which country?

 

 

 

 

 

 

If you passed your test in Canada, was it

Yes

No

 

inavehiclewith manual transmission?

 

If ‘Yes’, you must enclose evidence of this (if not shown on your licence). See INF1D page 12 – licences from other countries.

Renew

At age 70 or over

For medical reasons

Revoked under the Road Traffic (New Drivers) Act 1995

After disqualification

Organ donation

I want to donate an organ to help someone else after my death.

Please register me on the NHS Organ Donor register as someone whose organs can be used for a transplant. Tick the appropriate box or boxes.

Any part of my body

Kidneys

Corneas

Heart Lungs

Liver

Pancreas

Official use only

Passport

B/cert

M/cert

Other

No ID

4Previous licence details

Was your last licence a:

photocard licence?

paper licence?

If you have given up driving because you were disqualified in Great Britain,

please give the date and say which court dealt with it (if known).

 

 

Day Month

Year

 

 

 

Court name

 

 

■■ ■■ ■■■■

 

 

 

 

 

 

Are you currently disqualified in any other country?

 

No Yes

If ‘Yes’, which country were you disqualified in?

 

 

 

 

 

 

 

 

 

 

What is the expiry date shown on the

Day

 

Month

Year

■■ ■■ ■■■■

licence or entitlement you are renewing?

An executive agency of the

 

 

 

 

 

Department for Transport

 

 

 

12/03

 

years

5Your health

You must fill in either part A or part B or we will send your application back to you.

If you have already told us about a medical condition that could affect your fitness to drive – and you have no new medical condition

– miss out part Aand go on to part B of this section.

Part A

Have you ever had, or do you currently suffer from

any of the following conditions?

No Yes

If you have answered ‘Yes’, please tick all the appropriate boxes.

1

Epilepsy

2

Fits or blackouts

3

Repeated attacks of sudden disabling giddiness

4

Diabetes controlled by insulin

5

Diabetes controlled by tablets

6

An implanted cardiac pacemaker

7

An implanted cardiac defibrillator (ICD)

8

Angina (heart pain) which is easily brought on by driving

9

Persistent alcohol misuse or dependency

10

Persistent drug misuse or dependency

11

Parkinson’s disease

12

Narcolepsy or sleep apnoea syndrome

13

Stroke, with any symptoms lasting longer than

 

one month, recurrent “mini-strokes” or TIAs

14

Any type of brain surgery, severe head injury

 

involving inpatient treatment, or brain tumour

15

Any other chronic neurological condition

16

Aserious problem with memory or periods of confusion

17

Severe learning disability

18

Serious psychiatric illness or mental ill health

19

Total loss of sight in one eye

20

Any condition affecting both eyes, or the remaining eye

 

 

if you only have one eye

 

(not including colour blindness or short or long sight)

21

Any condition affecting your visual field

22

Any persisting limb problem which needs

 

 

driving to be restricted to certain types

 

of vehicle or those with adapted controls

If you have answered YES to one of the above questions you may be required to complete a medical questionnaire. Questionnaires are available on the DVLAwebsite http://www.dvla.gov.uk to be sent in with your application.

Part B

Only fill in this part if you have told us about a medical condition before.

You must read pages 6 to 10 of the INF1D before filling in section 6 and 7. Do not fill in sections 6 and 7 or supply a new photograph if you have a photocard licence, unless you are registering a change of name, photograph or signature. UK birth/adoption certificates are not acceptable as sole proof of identity and we may ask for further evidence. We are unable to verify details on non-UK birth certificates and they cannot be accepted as proof of identity.

6Confirming your identity

Tick the documents you are providing to prove your identity – see pages 6, 7 and 8 of INF1D for more details. Photocopies are not acceptable.

Passport Your UK birth or adoption certificate

EC or EEAidentity card TravelDocument

Evidence of SRP(State Retirement Pension)

Also, please write the identity number of the document you are providing.

Tick the documents you are also providing to show a clear link to your current name if different from that shown on your passport, birth certificate or adoption certificate.

Marriage certificate Divorce certificate

Your deed poll or statutory declaration

Also,pleasewritetheidentitynumbersofthedocumentsyouareproviding.

7Signing your photograph

Ifyouareprovidingidentitydocumentsotherthananup-to-dateUK,ECor EEApassport,someonereliablemustsignthebackofyourphotograph. (See page 8 and 9 of INF1D for more details.)

Warning: This person must have known you personally for at least two years, and must not be a relative or a member of the Post Officestaff processing the application, if you choose to use the Premium Checking Service – see page 13 of INF1D for more details.

TO BE FILLED IN BY THE PERSON SIGNING YOUR PHOTOGRAPH.

State how many years you have known the applicant: This MUST be at least 2 years.

I have signed the back of the photograph which is a true likeness of the applicant.

Signature

 

Date

 

Full name

Business or home address

Postcode

Full daytime phone number

ProfessionQualifications

Warning: We will make random checks on those who sign photographs for driving licence applications.

What is the condition?

Has it got worse since you told us about it?

No Yes

Have you had any special controls fitted to...............your

No Yes

vehicle since your last licence was issued?

Post Officedate stamp

Document checklist

Make sure you have enclosed the following where they apply.

Tick the appropriate boxes.

The correct fee

(See leaflet INS115 for fees

 

and details on how to pay.)

 

Amount

 

8Your signature

I understand that it is a criminal offence if I make, or anyone else makes, a false declaration to get a licence and to do so can lead to prosecution and a fine of up to £2500. I also understand it is an offence to fail to provide information which can lead to prosecution with a fine of up to £1000.

Important

See page 11 of INF1D.

Date

 

 

Peel here

 

 

PLACE PHOTOGRAPH

Cheque or postal order number

Identity documents (if this applies)

Yourlastlicence(andcounterpart ifthisapplies)

Your test pass certificate (if thisapplies)

You may wish to use a secure delivery service to send your identity documents to us. Enclose a pre-paid secure envelope for us to send these back to you.

We will not accept this application unless you sign below in black ink and your signature is completely within the white box.

Keep your signature within the white box

Keep your signature within the white box

 

FACE UP

 

See page 9 and 10

 

of INF1D

Peel here

 

We no longer issue paper licences. Your new licence will be a plastic photocard, a paper counterpart will accompany it. You must produce

both if the police or a court ask for them. You should also present both when taking a driving test. Other organisations such as vehicle-hire firms and insurance companies could ask to see both.

Common mistakes

Filling out the D1 DVLA form can be a straightforward task, but many people make common mistakes that can delay their application. Understanding these pitfalls can save time and ensure a smoother process. Here are seven mistakes to avoid when completing the form.

One frequent error is not using block capitals as instructed. The DVLA specifically requests that applicants fill out the form in block letters using black ink. If you use cursive or any other style, it may lead to misinterpretation of your information. Clear, legible writing is essential for ensuring that your application is processed correctly.

Another common mistake is failing to provide a current address. Many applicants overlook this detail, assuming their previous address will suffice. However, the DVLA needs your current address to send important documents and correspondence. Always double-check that your address is accurate and up-to-date.

Many people also forget to sign their application. This might seem trivial, but without a signature, your application cannot be processed. Ensure that your signature is within the designated white box and in black ink, as specified. A missing signature can result in significant delays.

Additionally, applicants sometimes neglect to check the medical history section thoroughly. If you have any medical conditions that could affect your driving, you must disclose them. Failing to do so can lead to complications down the line, including potential legal issues. Always be honest and complete in this section.

Another oversight involves the photograph requirement. Many applicants do not provide a suitable photograph or fail to have someone sign the back of it as required. Ensure that the photograph meets the DVLA's specifications and that the person signing it has known you for at least two years and is not a relative.

People often miss the importance of including the correct fee. Each application has a specific fee associated with it, and failing to include the right amount can lead to your application being returned. Always refer to the fee schedule provided in the accompanying booklet and ensure your payment method is acceptable.

Lastly, applicants sometimes overlook the document checklist at the end of the form. This checklist is crucial for ensuring that all necessary documents are included with your application. Missing documents can lead to delays or rejections. Take a moment to review the checklist before submitting your application to ensure everything is in order.