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Form d501 2026

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The document is a medical report form required for applicants seeking a provisional or driving license, as per the Road Traffic (Licensing of Drivers) Regulations, 2006. It includes a declaration by the applicant and sections for a registered medical practitioner to assess and certify the applicant's physical and mental fitness to drive various vehicle categories. The report must be submitted to a licensing authority within one month of completion.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Declaration by Applicant' section. Clearly write your name and address in BLOCK letters, followed by your date of birth.
In the license categories section, tick the appropriate boxes that apply to you for the provisional or driving license.
Sign the declaration in the presence of a registered medical practitioner, ensuring they complete their section accurately.
The medical practitioner will then fill out their report, indicating your fitness to drive and any necessary adaptations for disabilities.
Ensure all fields are completed before saving your document. Review it for accuracy and completeness.

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