Please list all category license expiry dates. Digi-Card Expiry. Endorsements. Offence code Date of offence Penalty points awarded.
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1 Wecandrive4u.co.uk Registration pack (PDF) Surname Middle and Forenames Ltd Company Name UTR (unique Tax Reference) Companies House Reg No: Incorporation Date: National Insurance No: D.O.B. Licence No: Digi card No: Driver CPC Card No: Other Professional Body Card. Please list all category license expiry dates. B C ** C1 BE CE** D1 B1 C1+E D1+E Photo Card Expiry Digi-Card Expiry Driver CPC Card Date** Date ** Expiry Date ** ** = Compulsory Endorsements. Offence code Date of offence Penalty points awarded. Contractor declaration. I (name) Of (Company Name) Ltd. To the best of my knowledge have no outstanding endorsements or convictions which will affect my ability to carry out my normal duties with wecandrive4u.co.uk. I have no issues with my health or eye sight which may affect my driving and I have no medical examinations for any health complaints in the next 3 months. I understand that is my responsibility to ensure that wecandrive4u.co.uk and DVLAare kept informed of any issue either criminal or medical that may affect my ability to drive. I will ensure that any work undertaken for any client will be performed with a professional degree of skill and care throughout. Signed Date../../
2 Contractor s Personal information. Public Liability Insurance No: VAT registration No (if registered) Account No Insurance Company Name Bank Name Sort Code Your Address Post Code Mobile No: Main home phone No: Address Next Of kin (Name) Contact No. Accountant Name. Accountant Address Please provide copies of the following in this pack Certificate of Incorporation VAT acceptance from HMRC (Only if Vat Registered) Headed letter from your accountant that they are dealing with your affairs. Copy of picture Licence card (BOTH SIDES) Digi- card (both sides) DCPC card(both sides) Proof of Eligibility to work in the UK (Passport ID page copy) Minimum 2 years references or character references to prove you have have been in employment as a professional driver for over 2 years. The details recorded will not be shared or used by anyone other than wecandrive4u.co.uk, and are all allocated secure storage on our data bases as part of our data protection processes, to ensure guaranteed payment to your allocated account, please ensure these details are correct before submitting and any future changes are completed swiftly. Contractors Medical Declaration. Contractor Medical Declaration It is an offence for a person to drive on any road, any vehicle otherwise than in accordance for a person to cause or permit another person to drive it. This is a declaration that I Trading as (LTD Co Name) Have produced my latest licence, and that I have no known pending convictions, endorsements or disqualifications, I also have no change in my health, which could affect my entitlement to drive, for ALL LICENCES and CATERGORIES, in particular, (Continued on page 3)
3 Epilepsy Fits and blackouts Repeated attacks of sudden disabling giddiness (giddiness that prevents you from functioning normally) Diabetes controlled by insulin An implanted cardiac pacemaker An implanted cardiac defibrillator (ICD) Persistent alcohol abuse or dependency Parkinson s disease Narcolepsy or sleep apnea syndrome Stroke with any symptoms lasting longer than one month, recurrent "mini strokes" or TIAs (Transient Ischemic Attacks) Any type of brain surgery, severe head injury involving inpatient treatment, or brain tumor Any other chronic (long term) neurological condition A serious problem with memory or episodes of confusion Severe learning disability Serious psychiatric illness or mental ill health Total loss of sight in one eye Any condition affecting both eyes, or the remaining eye (not including short or long sight or colour blindness) Any condition affecting your visual field (the surrounding area you can see when looking directly ahead) Any persistent limb problem for which you re driving has to be restricted to certain types of vehicles or those with adapted controls. Also for vocational licenses: Angina or any other heart conditions or heart operation Diabetes controlled by tablets Visual problems affecting either eye Any form of stroke, including TIAs (Transient Ischemic Attacks) If any of the above affects me I will inform wecandrive4u.co.uk as soon as possible. I further understand that I must also inform DVLA by writing to Drivers Medical Group, DVLA, Swansea, SA99 1TU. The appropriate medical questionnaires can be downloaded from Failure to do so is a criminal offence punishable by a fine up to 1,000, I will also inform wecandrive4u.co.uk of any road traffic accidents, convictions, endorsements or disqualifications that occur which could affect my entitlement to drive as soon as possible. I have read and fully understood the above declaration and will comply with requests enclosed in this statement. Signed: Date / / This and the licence declarations will form part of our quarterly process of checks, access will not be allowed to the site if these are not updated.
4 Driver s hours & Health and Safety quiz. (Please circle your answer or answers) 1. How many hours in total can you drive in one day, including any extended periods? A. 10 extended to 11 hours B. 9 extended to 10 hours C. 8 extended to 9 hours 2. You are issued a multi drop load requiring you to split your rest periods, what is the minimum time required on any second part of your break? A. 15 Minutes B. 20 Minutes C. 30 Minutes 3. By law, when does a driver need to make any manual entries? A. After a break in tacho data of 15 minutes or more B. Every minute from clock on to clock off time. 4. In August the local time is 21:30 hrs, what would be the UTC time recorded? A. 20:30 B. 21:30 C. 22:30 5. What is the fortnightly driving hours limit? A. 60 hours B. 90 hours C. 100 hours 6. A driver must carry their card with them at all times when driving even if the vehicle he/she is driving is an analogue style tachograph. A. True B. False 7. How many days information is held on the VU (vehicle unit) before it is over written? A. 7 B. 31 C If you removed your card at15.45 yesterday and clocked off at 16:00, then clocked on at 08:00 today but did not geta vehicle until 08:18 am which of the following statements is correct? A. No need to make entry, select "Ok" B. 15:45 to 16:00 rest - 08:00 to 08:18 other work C. 15:45 end shift, 08:18 start shift 9. Whose responsibility is health and safety at work? A. Management and supervisors B. Union approved or workplace approved health and safety representatives C. You. 10. Can you underline 3 hazardous substances from the following that you may encounter whilst working at a clients premises? Diesel. Gas Oil. LPG.Cleaning chemicals. Solvents. Paints. Adhesives. Hydraulic oil. Engine oil 11. You are late for work, and on the way to the office you encounter a broken pallet strewn in a walkway do you? A. Ignore it, you are late! And the load is a timed delivery. B. Simply climb over it, and let someone else deal with it. C. Remove it and report immediately to a supervisor or manager.
5 12. On arriving at work a manager has instructed you to assist and operate an industrial metal press, this is your old friends workstation, he has told you many a time of how easy his job is so it shouldn t be too hard, do you? A. Show your objections, but do it anyhow as the manager has agreed to check on you every hour to make sure you are ok. B. Refuse, you are not correctly trained to use or operate this machinery. C. What s the worst that can happen, just do the job anyhow? 13. Can you select 3 health and safety signs you may encounter whilst working at a clients premises? Fire exit. First aid box\room. Fire extinguisher. Fire assembly point. No smoking. Toxic or flammable substances. Hi Vis clothing required. PPE past this point. Safety goggles required. Pedestrians 14. Which is the most common accident type a driver may be unfortunate to be involved in? A. Falls from vehicles B. Load security C. Slips/trips D. All of the above. 15. On starting your shift, the previous driver has indicated that all is ok on a vehicle you are taking do you? A. Re-check the whole vehicle even though the previous driver is an experienced member of the team. B. Just drive to your collection point, as you are already behind time and the manager was disappointed with your time keeping last week. C. You part checked out to save time, a few lights were out and the MOT is out of date, but you are confident the transport team would be ok about this and left site. 16. On arrival at your delivery point you are requested to reverse your vehicle over a busy pedestrian walkway, and a member of the public has offered to help you, do you? A. Thank the member of the public for their offer, but seek help from the delivery point trained banks man. B. Accept the offer and attempt the maneuver, even though the member of the public keeps running around the back of your trailer out of site. C. Refuse both the banks man and the member of the public; you have done this countless times before. 17. When driving an LGV what driving style should be adopted? A. Offensive B. Defensive 18. Which fits best when driving an LGV? A. Give way B. No way C. My way 19. Our client is in a strict fuel economy drive, all employed drivers must follow guidelines set out to encourage fuel economy, as a contractor this means? A. It has no reflection of you as a professional driver; you must be doing it right B. Your driving styles too are under scrutiny C. The company can afford it, you will change nothing. 20. Its night time and you are driving, a car with elderly passengers has just wrongly pulled in front of you, then wandered back into your lane as you attempt to overtake, do you? A. Politely wave and slow down, keeping a safe distance B. Use the vehicle size to force the driver to move out of your way C. Follow the vehicle to the next stop, and go and explain the hi-way code in a loud voice. Thank you for completing this quiz, this is designed to determine your knowledge over our key factors that make wecandrive4u.co.uk different and better than the rest, we encourage all drivers to at all times be courteous, commercially aware, health and safety compliant, legally compliant and above all PROFESSIONAL.
6 Next Steps? Thank you for the completion of the registration form, upon our receipt of the form we can upload your information to the website and give you access to all of the options you need to begin a better way of obtaining your shifts, better rates and a whole fairer way of working. We suggest until you receive your links via the automated system, you continue to keep yourself busy with your current agency, we wouldn t want you going without until we get this completed, from then it s up to you! Take as many positions as you like for as many clients as you like and for the best prices. But before all this begins we need to check a few things with the DVLA, so we need you to ring them on They will need to verify firstly that it is really you with your driving licence number and a few security questions, from then you need to leave permission for us to verify your licence categories and accompanying details, they will ask your employer company name, please tell them it s wecandrive4u.co.uk. Alternatively! You can now, through the DVLA website, leave permission for someone to view your licence details, when doing this you will be given a One Time User Code, we will need that code to check so please write this here.. From then please inform us that permission has been left where we then have 7 days to verify your licence details and if it s all good, as we know you are, we allow access to the site. DVLA phone line hours are; Mon to Fri 08:00am to 19:00 Sat 08:00am to 14:00 Sun -Closed Welcome to wecandrive4u.co.uk we know as this site is designed Around you, this really is the only place you need to be to have the best marketing leading options needed for your company to grow. Why not inform your colleagues to join or ask how you can spread the benefits to companies we are not yet represented? They benefit from lower rates and you can increase your rates too, a true Best fit for all concerned no more greedy agencies & better Pay for a driver, that s our Goal. Please post back to: Wecandrive4u ltd Suite A Fellowship House Southmoor Road Hemsworth WF9 4LX Remember! Check your postage is correct size and weight first and adequate postage stamps are applied.
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