Fleet Insurance Questionnaire

Full Name:

Date of Birth:

Type of Licence:

How long have you held the above licence? (years and months)

List all motoring convictions received in the last 5 years.

List any medical conditions the DVLA need to be informed about.

Free Text

South Western Group Ltd. will carry out an online driving licence validation. Please supply the following details below.

Driving Licence Number:

National Insurance number:

Opt-In

By checking, I consent that South Western Group Ltd. may store the above information in digital format and only share for reasons directly related to my working engagement with South Western Group Ltd.

Opt-In

I agree to South Western Group Ltd (SWG Ltd) undertaking online checks with DVLA to verify my driving licence information.

(The DVLA check will confirm the types of vehicles I am licenced to drive, any penalty points or disqualifications I may hold and enable SWG Ltd to download a check code to share this information (on a GDPR lawful basis) with third parties e.g., SWG fleet vehicle insurer and vehicle hire companies, in direct relation to my working engagement with SWG Ltd.