To Be Completed by All Staff and Students Driving on University Business

Driving Declaration Form

To be completed by all staff and students driving on University business

The University has a duty of care to all staff and students to ensure that an individual has the correct driving documents required to drive on University business. These requirements will change if someone is driving a University owned vehicle or if driving their own vehicle.

A business trip is defined as any trip other than commuting to your one usual place of work.

Staff/Student ID number: ______

Please complete this section if you drive University owned vehicles:

Anyone intending to drive a University owned vehicle is required to declare that they are in possession of a validDriving Licence in accordance with the type of vehicle that will be driven.

The insurance and MOT for such vehicles will be arranged by the University, you do not need to do anything for these.

Please tick this box to confirm that you intend to drive a University owned vehicle and hold a validDriving Licence 

Signed ______Print name ______Date______

Please complete this section if you are driving your own vehicle:

Anyone intending to drive their own vehicle when driving on university business is required to declare that they possess the following documents.

Please tick the boxes below to confirm that you have the followingvalid documents:

Valid Driving Licence

MOT Certificate if applicable

Valid Motor Insurance including relevant business use cover – see below for more info

Motor Insurance including Business Cover:

In order to drive your own vehicle on any university business you must have business cover included on your Motor Insurance Policy, You should be able to arrange for this to be included on your motor insurance policy at which point your own insurance provider will answer any questions you may have about this. The University will not pay for any additional cost incurred when adding this to your insurance policy. If you intend to carry passengers’ your insurance must alsocover you for this.

Please tick the box to confirm that you have read and understand the information above and that you haveBusiness Insurance Coverincluded on your Motor Policy 

Signed ______Print name ______Date______

You will be required to submit this declaration on a 12 monthly basis to . Mileage claims will not be settled without completion of this form.

Author: Insurance Team October 2017