DRIVERCARE APPLICATION FORM

PLEASE NOTE - The General Secretary announced on the 4th December 2025 an extension to the DriverCare scheme. This is a pilot scheme, reviewed every 3 months. Members can now be covered for Loss of Licence up to the age of 68. For more information on these changes to the DriverCare Scheme please contact drivercare@unitetheunion.org

If you are aged between 62 to 68 you will be automatically enrolled into the pilot scheme. Please note as a new joiner to the DriverCare Scheme the loss of licence benefit of £3,000 will be included.

This form should only be completed by existing Unite members only. If you are not already a member of Unite, click here to join Unite now.

A full explanation of the DriverCare Scheme is contained in the leaflet "DriverCare Explained" available at drivercare.unitetheunion.org. Please read through the form before completing and make sure you understand the information you are being asked to provide. Should you require any guidance please call DriverCare on 01708 339046.

Cover commences on the date on which a completed application form is received by the DriverCare Administration Unit and the first subscription is paid to the DriverCare Scheme.

It is important to understand this scheme will not provide loss of licence benefit in respect of a pre-existing medical condition or any condition that arises within 39 weeks of joining.

Pre-Existing Condition: relates to any physical or mental defect, infirmity, medical condition or chronic recurring illness which you could reasonably be expected to know existed at the date of entry into the Scheme and which might lead to the relevant Licensing Authority revoking or refusing to renew your professional licence.

Please fill in your details below

Title*

Forename(s)*

Surname*

First Line of Address*

Town*

Postcode*

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: 00000000000.

Mobile Number

Please enter a valid phone number.Format: 00000000000.

Membership Number: (You must be a member of Unite in order to be a member of DriverCare)*

Date of Birth*

Date

"Loss of Licence Benefit will cease on reaching your 68th birthday (Standard DriverCare covers Loss of Licence up to the age of 62 and during the pilot scheme this will be extended up to the age of 68).

Occupation*

Employer*

Are you Employed or Self-Employed?*

It is important to register all licence categories that you wish to be covered. Please choose the level of cover which best suits your needs. Cover is £1.10 per week if you are aged under 68 and 65p per week if you are aged 68 and over, except where indicated. If in doubt please contact the DriverCare Administration Unit on 01708 339046.

Benefit	Group 1 and Group 2 Licence Holders	*Group 1 and Other Licence Holders Conductors**	Over 68 Licence Holders Conductors
Loss of Licence	£8,000 (Over 62 £3,000)	Not Included	Not Included
Assault	Up to £2,500	Up to £4,000	Up to £4,000
Personal Accident	Up to £5,000	Up to £25,000	Up to £30,000
Hospitalisation	Not Included	£50 per day	£50 per day
Legal Assistance	Included	Included	Included

Choose which membership (see table above)*

Rows	Group 1 and Group 2 Licence Holders	Group 1 and Other Licence Holders* Conductors	Over 68 Licence Holders Conductors
Membership

Group 1 includes cars and motorcycles.

Group 2 includes large lorries (category C) and buses (category D)

*Group 1 and Other Licence Holders may opt out of Loss of Licence cover and choose the enhanced PA/Assault/Hospital Confinement benefits instead

OPTIONAL EXTRAS - Only available to those who have opted for Loss of Licence Cover

Supplementary Loss of Licence Cover (Top-Up) – up to £15,000
Available up to the age of 68. This provides an additional lump-sum cash benefit up to £15,000 in the event that your licence is revoked or refused by the licensing authority for medical reasons.

Please tick to add for an additional £1 per week.

Wage Support Payment - up to a maximum of £15,600.

This provides an additional benefit following a successful Loss of Licence claim
where the member suffers a reduction in gross taxable pay in excess of 25%.

Please tick to add for an additional £2 per week

I understand that any pre-existing condition is excluded from coverI will tell the DriverCare administration unit about any employment changesI will tell the DriverCare administration unit about any changes in my state of health which may lead to the relevant licensing authority revoking or refusing to renew my professional licence

NOTE: A copy of this completed form will be supplied on request within a period of three months after its completion. Please note that we may return the application form if completed incorrectly or if any information is missing.

The Executive Council announced on the 4th December 2025 an extension to the DriverCare scheme. This is a pilot scheme, reviewed every 3 months. Members can now be covered for Loss of Licence up to the age of 68. For more information on these changes to the DriverCare Scheme please contact drivercare@unitetheunion.org. Unite the Union reserves the right to end the pilot scheme at any time.

Data Protection. We will use the information provided on your application form to update your Unite membership record and union subscription payments. Depending on how you choose to pay your normal Unite membership subs, your bank or employer will be notified of the increase to your subscription rate. Any new contact or employment details will be used to update on your membership record and communicate with you. We will contact you regarding items specific to being a member of Unite the Union, including activities, campaigns and benefits, including DriverCare. You can change how Unite communicate with you at any time using the MyUnite website: https://www.unitetheunion.org/login/ or by contacting your regional office. For further details as to how Unite will process your data, please see Unite the Union’s up to date privacy notice at https://www.unitetheunion.org/legal-information/privacy-policy or contact your regional office for a copy.

Your signature*