driving entitlements, e3ndorsement details, disqualifications, convictions, photo images and CPC details (where applicable). Medical information is not to be provided. This authority will expire when I cease to drive in connection with Chorley Council and in any case three years from the date of the grant of my licence. Name: Signed: Dated: All documents below must be presented for inspection- ONLY ORIGINAL DOCUMENTS WILL BE ACCEPTED Applicant Checklist- Checklist to be completed by Customer Service- all documents to be colour copied and attached to IDOX tick this record column only 1 EEA/UK Where not produced to CHECK THAT THE RIGHT Colour copied and (Initials of passport checked by CSO) TO WORK AND RESIDE VISA IS VALID AND IN CURRENT PASSPORT, refer to back office for Customer Services referral to Home office before processing application Passport No : Expiry date: OR 2 UK Birth Where not produced to VERIFY RIGHT TO WORK Colour copied and (Initials of Certificate AND RESIDE, refer to back office for referral to checked by CSO) Home office before processing application Customer Services No: AND 3 Passport style ID against Photo taken at time of receipt and Colour ID passport (Initials of photo to be taken attached to IDOX reference. photo taken by CSO) at the Customer Services appointment with CBC 4 Full DVLA issued Licence No: Colour copied and (Initials of driving licence checked by CSO) Customer Services Issue No: Group B Expiry: DVLA check code: 7 Enhanced DBS- This must be within 3 months of the renewal. Copy and checked (Initials of Chorley Council ONLY CLEAR DBS CERTIFICATES CAN BE by Customer CSO) issued VALIDATED. Where any issues identified copy Services and refer to back Office. (Copies destroyed after application processed) Ref: Date of issue: 8 Chorley Council This must be completed within 3 months of the Recorded and (Initials of II Medical renewal date and signed by own GP. Where checked by CSO) issues identified refer to Licensing Customer Services Dr Registration No: Date completed: Recorded and 9 Safeguarding Training Date completed : Checked by Customer Services DATA Protection Recorded and checked by (Initials of 10 Signed and dated Mandate Customer Services CSO) 11 HCD Renewal £182.06 4120/60085/000968
driving entitlements, e3ndorsement details, disqualifications, convictions, photo images and CPC details (where applicable). Medical information is not to be provided. This authority will expire when I cease to drive in connection with Chorley Council and in any case three years from the date of the grant of my licence. Name: Signed: Dated: Applicant Checklist- tick this column only All documents below must be presented for inspection- ONLY ORIGINAL DOCUMENTS WILL BE ACCEPTED Checklist to be completed by Customer Service- all documents to be colour copied and attached to IDOX record 1 EEA/UK passport Where not produced to CHECK THAT THE RIGHT TO WORK AND RESIDE VISA IS VALID AND IN CURRENT PASSPORT, refer to back office for referral to Home office before processing application Colour copied and checked by Customer Services (Initials of CSO) Passport No : Expiry date: OR 2 UK Birth Certificate Where not produced to VERIFY RIGHT TO WORK AND RESIDE, refer to back office for referral to Home office before processing application Colour copied and checked by Customer Services (Initials of CSO) No: AND 3 Passport style photo to be taken at the appointment with CBC ID against Photo taken at time of receipt and attached to IDOX reference. Colour ID passport photo taken by Customer Services (Initials of CSO) 4 Full DVLA issued driving licence Licence No: Colour copied and checked by Customer Services (Initials of CSO) Issue No: Group B Expiry: DVLA check code: 7 Enhanced DBS- Chorley Council issued This must be within 3 months of the renewal. ONLY CLEAR DBS CERTIFICATES CAN BE VALIDATED. Where any issues identified copy and refer to back Office. Copy and checked by Customer Services (Copies destroyed after application processed) (Initials of CSO) Ref: Date of issue: 8 Chorley Council II Medical This must be completed within 3 months of the renewal date and signed by own GP. Where issues identified refer to Licensing Recorded and checked by Customer Services (Initials of CSO) Dr Registration No: Date completed: 9 Safeguarding Training Date completed : Recorded and Checked by Customer Services 10 DATA Protection Mandate Signed and dated Recorded and checked by Customer Services (Initials of CSO) 11 HCD Renewal 4120/60085/000968 £182.06
New%20Driver%20renewal%20Form%2021.08.2018%20TF-DR-05-18.docx