They would be unable to read a registration plate in good light at 20.5 meters (with lenses if worn) They would be refused a driving licence because they have a restricted field of vision They have diabetes and their current experience of hypoglycaemia would prevent them from holding a driving licence They have been advised not to drive because of the side effects of medication and would have their licence revoked by the DVLA because of this (if they hold one) They have been advised not to drive because of the side effects of medication but could keep their driving licence (if they hold one) They have a severe mental disorder which would preclude them from holding a driving licence. Please give details: They have another disability which is likely to cause driving a vehicle by them to be a danger to the public and which would result in refusal of a driving licence. Please give details: They persistently misuse drugs or alcohol and this has caused the above condition/s None of the above apply to the applicant Any other information which is relevant to the applicant’s eligibility: Duration of disability Please initial to indicate how long the applicant’s condition is likely to last: Less than 12 months
They would be unable to read a registration plate in good light at 20.5 meters (with lenses if worn) They would be refused a driving licence because they have a restricted field of vision They have diabetes and their current experience of hypoglycaemia would prevent them from holding a driving licence They have been advised not to drive because of the side effects of medication and would have their licence revoked by the DVLA because of this (if they hold one) They have been advised not to drive because of the side effects of medication but could keep their driving licence (if they hold one) They have a severe mental disorder which would preclude them from holding a driving licence. Please give details: They have another disability which is likely to cause driving a vehicle by them to be a danger to the public and which would result in refusal of a driving licence. Please give details: They persistently misuse drugs or alcohol and this has caused the above condition/s None of the above apply to the applicant Any other information which is relevant to the applicant’s eligibility: Duration of disability Please initial to indicate how long the applicant’s condition is likely to last: Less than 12 months
refusal-of-driving-licence-evidence-form-final.docx