Your application for a new vehicle

Your application for a new vehicle
When the disabled person and their drivers live at different addresses, we’ll always review your application to check the Motability Scheme meets the disabled person’s needs.

Once you’ve finished this form, we’ll continue with your application as soon as possible.

Please give us accurate information, to the best of your knowledge, or we might not be able to continue with your application.
Customer name*
Customer Reference Number (CRN)
Your CRN is eight digits long and can be found at the top of any letter you have received from Motability. If you do not know your CRN, we can find your application using your other details.
Mobile number*
Are you the customer?*

YesNo
What's your name?*
What's your relationship to the customer?*

Your application for a new vehicle
When the disabled person and their drivers live at different addresses, we’ll always review your application to check the Motability Scheme meets the disabled person’s needs.

Once you’ve finished this form, we’ll continue with your application as soon as possible.

Please give us accurate information, to the best of your knowledge, or we might not be able to continue with your application.
First, we’ll ask about you (the disabled person) and how the vehicle is going to help you.
Who visited the dealer to apply for the vehicle?*

I went to the dealer alone or with othersSomeone else applied for meNo one's been to the dealer yet. I applied online or over the phone
Who applied?*
How do you plan to use the vehicle?*

This can be day to day journeys. Or weekly, monthly or one-off occasions you feel the vehicle will help you with.0/1000
How do you get yourself around for your commitments right now?*

Please tell us all the ways you get around, and about anyone who helps you.0/512
In an average week, how many times do you hope to go out in the vehicle?*

6 to 7 days a week3 to 5 days a week1 to 2 times a weekLess than once a week
Next, we’ll ask you about the drivers you included on your application. If you’re not sure, please speak to your driver before you answer.
How many drivers did you include?*

123
Who will be your driver, and what's their relationship to you?*
Who will be your first driver, and what's their relationship to you?*
In a typical week, how often do you and your driver see each other?*

6 to 7 days a week3 to 5 days a week1 to 2 days a weekLess than once a week
We understand not every week will be the same. You can base this on an average week for you and your driver.
Does your driver have access to their own transport right now?*

Yes, they use a vehicle, aloneYes, they share a vehicle with someone in their homeYes, they have a work vehicle, but it's NOT permitted for personal useThey do not have their own vehicle. They rely on other ways to get around, like public transport and walking
It’s OK if you think this will change. Just tell us what’s accurate right now.
You've told us your driver has access to a vehicle right now. If we approve your application, what will your driver do with this vehicle?*

This could be that they’ll keep this vehicle for their own use. Or they might choose to sell or get rid of it.0/512
Is your driver working?*

YesNo
Please tell us where they work, how often they work, and how they're currently travelling to and from work.*

0/512
Is this likely to change over the next three years?*

YesNo
This could mean your driver is looking for work or due to go into/complete their studies etc..
Does your driver have any dependents under the age of 18?*

YesNo
Please include how many, how old are they and their level of commitment. This could include nursery, school, college, and after school activities. *
Does your driver have any commitments?

This could include studying, caring for someone else, and volunteering.0/512
Who will be your second driver, and what's their relationship to you?*
In a typical week, how often do you and your driver see each other?*

6 to 7 days a week3 to 5 days a week1 to 2 days a weekLess than once a week
We understand not every week will be the same. You can base this on an average week for you and your driver.
Does your driver have access to their own transport right now?*

Yes, they use a vehicle, aloneYes, they share a vehicle with someone in their homeYes, they have a work vehicle, but it's NOT permitted for personal useThey do not have their own vehicle. They rely on other ways to get around, like public transport and walking
It’s OK if you think this will change. Just tell us what’s accurate right now.
You've told us your driver has access to a vehicle right now. If we approve your application, what will your driver do with this vehicle?*

This could be that they’ll keep this vehicle for their own use. Or they might choose to sell or get rid of it.0/512
Is your driver working?*

YesNo
Please tell us where they work, how often they work, and how they're currently travelling to and from work.*

0/512
Is this likely to change over the next three years?*

YesNo
This could mean your driver is looking for work or due to go into/complete their studies etc..
Does your driver have any dependents under the age of 18?*

YesNo
Please include how many, how old are they and their level of commitment. This could include nursery, school, college, and after school activities. *
Does your driver have any commitments?

This could include studying, caring for someone else, and volunteering.0/512
Who will be your third driver, and what's their relationship to you?*
In a typical week, how often do you and your driver see each other?*

6 to 7 days a week3 to 5 days a week1 to 2 days a weekLess than once a week
We understand not every week will be the same. You can base this on an average week for you and your driver.
Does your driver have access to their own transport right now?*

Yes, they use a vehicle, aloneYes, they share a vehicle with someone in their homeYes, they have a work vehicle, but it's NOT permitted for personal useThey do not have their own vehicle. They rely on other ways to get around, like public transport and walking
It’s OK if you think this will change. Just tell us what’s accurate right now.
You've told us your driver has access to a vehicle right now. If we approve your application, what will your driver do with this vehicle?*

This could be that they’ll keep this vehicle for their own use. Or they might choose to sell or get rid of it.0/512
Is your driver working?*

YesNo
Please tell us where they work, how often they work, and how they're currently travelling to and from work.*

0/512
Is this likely to change over the next three years?*

YesNo
This could mean your driver is looking for work or due to go into/complete their studies etc..
Does your driver have any dependents under the age of 18?*

YesNo
Please include how many, how old are they and their level of commitment. This could include nursery, school, college, and after school activities. *
Does your driver have any commitments?

This could include studying, caring for someone else, and volunteering.0/512
Do the drivers need to use your Motability Scheme vehicle for any of their personal journeys, outside of supporting you?*

YesNo
This might include things like going to and from work, the school run, and more.
Please tell us more.*

0/512
Whose address is the vehicle going to be parked at overnight?*

With me, the customerWith my driver
We do not mind which address the vehicle is parked at. We just like to know.
Do you stay at a different address over night on a regular basis?*

YesNo
If yes, where and how often?*
Please verify that you are human*
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