Replace Lost Driving Licence

DRIVING LICENCE INFORMATION

Do have to

My licence has been *

Lost
Stolen
Destroyed
Defaced

Your photocard driver’s licence number *

Are you currently disqualified from driving in the UK (including Northern Ireland, Jersey, Guernsey and Isle of Man) or any other country? *

Disqualification date *

Court Name *

Do you suffer from any medical conditions that may impact your ability to drive? *

Medical Conditions *

Diabetes controlled by insulin (No need to notify us if you have diabetes controlled by tablets or other injections unless you experience hypoglycaemia requiring the assistance of another person)
Epilepsy
Any condition affecting both eyes, or the remaining eye if you only have one eye. Not including colour blindness or short or long sight
Stroke, with any symptoms lasting longer than one month or TIAs
Fits or blackouts
Any type of brain surgery, severe head injury involving in-patient treatment, or brain tumour
An implanted cardiac pacemaker
An implanted cardiac defibrillator (ICD)
Repeated attacks of sudden disabling giddiness
Any other chronic neurological condition including Multiple Sclerosis, Motor Neurone and Huntington’s disease
A serious problem with memory or periods of confusion
Persistent alcohol misuse or dependence
Persistent drug misuse or dependence
Serious psychiatric illness or mental ill health
Parkinson’s disease
Sleep apnoea syndrome
Narcolepsy
Any condition affecting your visual field
Total loss of sight in one eye
Any persisting limb problem which needs driving to be restricted to certain types of vehicles or those with adapted controls
Severe learning disability

If you have a medical condition we may need further information from you or your doctor to confirm that you meet the medical standards of fitness to drive. When you have completed your application it will go to the medical department for consideration

Do you need to wear glasses or corrective lenses to meet this standard? *

Can you read a number plate from 20 metres and confirm that you have not been advised by an optician or doctor that your eyesight does not meet the minimum standards for driving? *

Can you meet the legal eyesight standards for driving using glasses or corrective lenses if needed? *

Personal Information

Name *

First

Middle

Last

Birth Last Name *

Date of Birth *

Mother's Maiden Name (Surname before marriage) *

Place of Birth *

Country of Birth *

Gender *

Male
Female

Address Information

Your Current Address Information *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How long (Months) have you lived at your new address? *

Is your current address same as previous address? *

Your Previous Address Information *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Security Details

Passport Number *

National Insurance Number *

Email *

Phone *

Payment Information

Price *

£40.00

Stripe Credit Card *

Consent *

I have read and agree to the Terms & Conditions, Refund & Cancellation Policy and Privacy Policy, and I would like to proceed with my application with DL Simplified. I understand and accept that my information is going to be used for the application purpose only.

Replace Lost Driving Licence

DRIVING LICENCE INFORMATION

Personal Information

Address Information

Security Details

Payment Information

About Us

Links

Explore

DL simplified The Driver's Pride