Please complete this form if you wish to be added to the authorised drivers list for the county.

This list is for drivers who will:
(a) Drive the county van

(b) Tow on behalf of the county (if you’re claiming expenses you’re driving on behalf of the county)

(c) Drive any other vehicle hired/loaned to the county.

NYS Programme Team members must complete this form annually or when anything in this declaration changes.

For all non Programme Team members, approval is valid for a period of 1 month. After which, a new approval must be sought.

Request Authority to Drive Form

• Name(Required)
  First Last
• Email(Required)
• Membership Number(Required)
• Date of Birth(Required)
  DD slash MM slash YYYY

• Driving License Details

• Which Category(ies) of license do you hold?(Required)
  Choose all that apply
  • No UK license
  • B+E (car and trailer) UK license
  • D1 (minibus) UK License
  • D1+E (minibus and trailer) UK license
• Please enter your driving license number.(Required)
  First 17 characters only required
• DVLA License check Code(Required)
  Get your code at https://www.gov.uk/view-driving-licence

• Insurance restrictions and declaration

  This section relates only to situations when you are driving under the County insurance policies.
• Please confirm that you comply with all the following statements:(Required)
  • Select All
  • I am not disqualified from driving
  • I have held a full UK license for at least 2 years
  • I have no points on my license
  • I have had no driving convictions in the past 5 years
  • I have had no accidents or other motor vehicle insurance claims in the last 3 years
• If you can't comply with all the above items, please provide details here.
  The insurance company will require: What was the claim cause, the loss details and claims amounts. Please supply conviction details where these are not shown on your license summary from DVLA.

• Towing Trailers

  Following revisions of the testing requirements for trailer towing all car drivers are automatically given category B+E. However, NYS must also ascertain that you are capable and competent to tow on our behalf. If you do not complete the next 2 questions you must not tow on behalf of the county. Do not drive anything which you are not comfortable to drive even if you are legally allowed to do so. If you wish to increase your capability, please discuss this with your Team Leader.
• Have you had a formal assessment of your ability to tow trailers?
  Please select which is most accurate for you or choose other and provide a description of your experience or how your capability was assessed.
  • Yes. I have passed a B+E or D+E DVLA test.
  • No. But I have extensive experience of towing multiple trailer types and sizes over many years.
  • No. But I have limited experience of towing 1 trailer type infrequently.
  • No. And I have no towing experience.
• 
• Please select the vehicle and trailer combination that you feel confident with and have experience of
  The image above shows an example of each option
  • 1. No Trailer at all
  • 2. Small <750kg trailer e.g. Dinghy or Bike trailer
  • 3. Medium sized trailer of weight lower than the tow vehicle with good visibility around it
  • 4. Large trailer up to 3500kg potentially wider and/or longer and/or higher than the tow vehicle

• Declaration of compliance

• I understand that if anything changes with regard to my driving license, motoring convictions or insurance claims from what has been declared in this form that I must not drive on behalf of the county until a new request form has been submitted and approval has been received.(Required)
  • Yes
• I shall comply with all relevant policies when driving on behalf of the county. Primarily this will be the Van Drivers Handbook and the County Trailer Policy.(Required)
  • Yes

Submit

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 Policy documents can be reviewed here