By signing this form you agree to allow Local Medical Services Ltd to conduct checks on your driving license to verify your entitlement to drive vehicles of the classes shown. The checks will be carried out every 6 months.
This form MUST be accompanied by a copy of the front and back of your driving licence.
All drivers are covered by company insurance and the excess is covered by the company where any accident is found to
not be the fault of the driver. Where an accident is caused by the deliberate actions or negligence by the driver they will
be liable for the excess on the policy as detailed below:
Over 25 (Provisional licence): £500
Over 21 £250
Under 21 £500
All drivers MUST complete the pre shift checks including a vehicle inspection and the appropriate VDI form for each day
they have a vehicle and a PTS log for any patient transport journeys.