• 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.
     
  • Are you 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?*
  • 0/1000
  • 0/512
  • In an average week, how many times do you hope to go out in the vehicle?*

  • 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?*
  • In a typical week, how often do you and your driver see each other?*
  • 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?*
  • It’s OK if you think this will change. Just tell us what’s accurate right now.
  • 0/512
  • Is your driver working?*
  • 0/512
  • Is this likely to change over the next three years?*
  • 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?*
  • 0/512
  • In a typical week, how often do you and your driver see each other?*
  • 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?*
  • It’s OK if you think this will change. Just tell us what’s accurate right now.
  • 0/512
  • Is your driver working?*
  • 0/512
  • Is this likely to change over the next three years?*
  • 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?*
  • 0/512
  • In a typical week, how often do you and your driver see each other?*
  • 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?*
  • It’s OK if you think this will change. Just tell us what’s accurate right now.
  • 0/512
  • Is your driver working?*
  • 0/512
  • Is this likely to change over the next three years?*
  • 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?*
  • 0/512
  • Do the drivers need to use your Motability Scheme vehicle for any of their personal journeys, outside of supporting you?*
  • This might include things like going to and from work, the school run, and more.
  • 0/512
  • Whose address is the vehicle going to be parked at overnight?*
  • 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?*
  • Should be Empty: