Community Driver Application Form

  • Personal Information

  • Vehicle Details

  • Driving Licence

  • Number of years full driving licence has been held
  • Insurance Details

  • Please give details of any accidents within the last five years
  • Please specify below. Please note: There is no compulsion to accept a journey.
  • Please upload a scan / copy of your driving licence
    Accepted file types: pdf, jpg, png, jpeg, bmp.
  • Please upload a scan / copy of your driving licence
    Accepted file types: pdf, jpg, png, jpeg, bmp.
  • I understand that I am undertaking voluntary driving at my own risk and agree to Tees Valley Rural Action contacting my Insurance Company to inform them that I am undertaking this work. In ticking the box below I agree that the information I have given above is correct.
  • I agree to my details stored in accordance with our privacy-policy and terms & conditions set out by Tees Valley Rural Action. In accordance with • Data Protection Act 1998 • As of 25 May 2018, the new data protection legislation introduced under the General Data Protection Regulation (GDPR) and Data Protection Bill.