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.
First Name of Hirer / Driver:
Last Name of Hirer / Driver:
Date of the Last Long Form:
Date of this Hire (must be within 3 months of Last Long Form):
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)
Date of Your Last DVLA Access Code:
