Change of Temporary Driver (excluding Third Drivers)

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Important - any change request submitted must be authorised by the Hirer.

The Motability Contract Hire Scheme allows you to propose up to two drivers, one of whom may be the Hirer.

If you wish to temporarily add or change your permitted drivers, then you can do so by completing the form below.

If your request is regarding a Third Driver then click here.

Please note that this is a request only, you will require acceptance and a temporary cover note before you allow the new driver to drive the vehicle.

Before proceeding to submit any personal details please read the Privacy Policy included on this website.

Please make sure you complete all details marked*

The Person Completing this Form:

*Who are you? :

*Title :

*First Name :

*Surname :

Personal Details of Hirer/Guardian or Legal Appointee

*Title :

*First Names :

*Surname :

*Postcode :

*First Line of Current Address :

Policy Information

*Policy Number : RKX1 or RKX7/RMO
(This can be found on your Certificate of Motor Insurance)

Hirer's Telephone Number (inc STD)

*Home No :

Mobile No :

Temporary Driver

This request is to add/change a driver(s) for a temporary period for a maximum number of 30 days.

Temporary Driver to be Deleted :

*Do you currently have two drivers on your policy? :

Yes : No :

First Name :

*DOB :

Surname :

DD/MM/YYYY

Temporary Driver to be Added :

*First Name :

*Surname :

*DOB :

DD/MM/YYYY

New Driver Details

*Does the Driver Hold a UK Driving Licence? :

Yes : No :

*Type of Licence :

*Date Passed Driving Test :

DD/MM/YYYY

*Driving Licence Number :

If any new driver(s) have had any accidents or convictions within the last 5 years we will require full details when we contact you to discuss this change'

Cover Period

*Start date & time :

DD/MM/YYYY

HH:MM

*End date & time :
(Maximum 30days)

DD/MM/YYYY

Time :

HH:MM