Millens Short Form Custom | Equine Transport UK

MILLENS SELF DRIVE HIRE HORSEBOX INSURANCE PROPOSAL SHORT FORM

I hereby confirm that there have been no change in my personal circumstances nor driving record since I completed my last hire questionnaire and I can still agree the declaration in my long questionnaire.

The DVLA only record motoring convictions electronically. We need a Check Code from the DVLA to check your license details. To obtain the Check Code, please ring DVLA on 0300 083 0013, or log in to the DVLA's Service on https://www.gov.uk/view-driving-licence (you will need your Driving License Number, your National Insurance Number and your Post Code)

First Name of the Driver:

Email of the Driver/Hirer

Driving Licence Number of Driver

Last Name of the Driver

Mobile Number of Driver Hirer

When Driver did Last Long Form

The Date of your Hire

Your Valid 8 digits (case-sensitiv)

The Date you got your last Code

Sign on the Line in the Box

Today's Date

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EQUINE TRANSPORT UK Self Drive or Driven

EQUINE TRANSPORT UK
Self Drive or Driven