Basic Details

Have you lived in another European Union or European Economic Area country other than the UK in the last 12 months? *YesNo

Are you currently disqualified from driving in the UK (including Northern Ireland, Jersey, Guernsey and Isle of Man) or any other country? * YesNo

Can you meet the legal eyesight standards for driving using glasses or corrective lenses if needed? *Details of the legal standards required by law can be found here:https://www.gov.uk/driving-eyesight-rules YesNo

Can you read a number plate from 20 metres and confirm that you have not been advised by an optician or doctor that your eyesight does not meet the minimum standards for driving? * with glasses or corrective lenses if necessary? YesNo

Do you need to wear glasses or corrective lenses to meet this standard? *YesNo

Medical Conditions If you have a medical condition we may need further information from you or your doctor to confirm that you meet the medical standards of fitness to drive. When you have completed your application it will go to the medical department for consideration Diabetes controlled by insulin (No need to notify us if you have diabetes controlled by tablets or other injections unless you experience hypoglycaemia requiring the assistance of another person)EpilepsyAny condition affecting both eyes, or the remaining eye if you only have one eye. Not including colour blindness or short or long sightStroke, with any symptoms lasting longer than one month or TIAsFits or blackoutsAny type of brain surgery, severe head injury involving in-patient treatment, or brain tumourAn implanted cardiac pacemakerAn implanted cardiac defibrillator (ICD)Repeated attacks of sudden disabling giddinessAny other chronic neurological condition including Multiple Sclerosis, Motor Neurone and Huntington's diseaseA serious problem with memory or periods of confusionPersistent alcohol misuse or dependencePersistent drug misuse or dependenceSerious psychiatric illness or mental ill healthParkinson's diseaseSleep apnoea syndromeNarcolepsyAny condition affecting your visual fieldTotal loss of sight in one eyeAny persisting limb problem which needs driving to be restricted to certain types of vehicles or those with adapted controlsSevere learning disability