University Car/Car Allowance Policy
Human Resources
July 2009
LM/HR/University Car Policy
Contents
Page
1.
Introduction
2
2.
Essential Car Users
3
3.
Options for Essential Car Users
3
4.
University Car
3
5.
Monthly Car Allowance
5
6.
Business Mileage Rates
6
7.
University Car Tax
7
8.
Temporary Car
7
9.
Insurance for University Cars
7
10.
Insurance for Employee’s Private Cars
8
11.
Entitlement to Drive
8
12.
Fitness to Drive
8
13.
Health & Safety
9
14.
Driver Training
9
15.
Motoring Offences
9
16.
Taking a University Car Abroad
10
17.
Change of Job Role
10
18.
Secondments and Temporary Positions
11
19.
Absence from Work
11
20.
Suspension from Work or Garden Leave
11
21
Return of University Car
11
22
Monthly Allowances and Eligibility Criteria
12
University Car/Car Allowance Policy
1
1.0
INTRODUCTION
1.1
The University may, at its discretion, provide a University car or a Monthly Car
Allowance to employees whose principal duties require extensive business
travel. The principal indicator will be the requirements of the job role but a
review of needs will be carried out when an employee drives more than
12,000 business miles in a year. Once agreed, employees who require a
University car or a Monthly Car Allowance will be defined as ‘essential car
users’. This classification will be reviewed annually and where an employee
has reduced his/her mileage to below this level the company car/monthly car
allowance will be reviewed and may be removed.
1.2
This document outlines the options, allowances and choice of cars available to
employees who are eligible to receive a University car or a Monthly Car
Allowance and the responsibilities and actions required of the employee.
1.3
In each case, the University will consider the use of alternative transport
modes, but if the annual mileage is 12,000 business miles or above these are
likely. In considering the choice of University cars and setting the monthly car
allowance, the University has included the following eligibility criteria for cars:
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environmental impact;
safety;
reliability;
whole life costs
security of University property kept/transported in the car
1.4
The choice of University car must be suitable and appropriate for business use
and the University reserves the right to disqualify any car chosen by an
employee that is considered unsuitable or impractical for business use.
1.5
Some car makes and models are excluded from this policy because they do
not meet the required eligibility criteria and standards. Examples of vehicles
excluded from this policy are listed below although it must be noted the list is
not exhaustive. If in doubt about any of the definitions below, employees
should contact the University Transport Manager.
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vehicles with less than 4 adult seats
kit cars
car-derived vans
vans
commercial vehicles
pick-ups
convertibles
off-road vehicles
mobile homes/caravanettes
three-wheeled vehicles
motorcycles
scooters
quadricycles
University Car/Car Allowance Policy
2
2.0
ESSENTIAL CAR USERS
2.1
An essential car user is defined as an employee whose principal duties, such
as those associated with business development and sales, involve him/her in a
considerable amount of business travel (see 1.1 above) on a regular basis.
Two options for car usage are available to essential car users and these are
set out in section 3.
3.0
OPTIONS FOR ESSENTIAL CAR USERS
3.1
Essential car users will have the option of:

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a fully maintained University car supplied on contract hire
a monthly car allowance paid into salary
Both of the options above are subject to the conditions laid out in this policy.
4.0
UNIVERSITY CAR
4.1
The option of a University car is based on a monthly allowance aligned to job
grade which allows the employee a reasonable and diverse choice of cars,
whilst meeting the selection criteria for environmental impact, safety, reliability
and whole life costs. The monthly allowances by job grade are shown in
section 22, which may be subject to change.
4.2
University cars are usually supplied on contract hire including maintenance for
a period of 3 years and 60,000 miles. However, this may be reviewed in line
with the likely required usage and/or the mileage accumulated.
4.3
A University car remains the exclusive property of the University and may be
used only by the employee and nominated authorised driver who must be a
partner or immediate family member - see Section 9.
4.4
The University car must meet the following eligibility criteria:
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4.5
have a maximum registered carbon dioxide (CO2) exhaust emissions of
150g/km;
have a minimum Euro NCAP safety rating for driver and passengers of 4
stars:
be fitted with a hands-free mobile phone kit or Bluetooth compatibility for
hands free mobile phone. If this equipment is not fitted as standard, it
must be fitted. If the cost exceeds the monthly contract hire rate, the
University will pay the additional cost.
have a manufacturer fitted alarm and vehicle security system fitted as
standard.
The University will supply the employee with the following safety items where
they are not included in the specification of a car, which remain the property of
the University:
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a first aid kit
a high visibility jacket or vest
a warning triangle
a torch
University Car/Car Allowance Policy
3
4.6
The monthly contract hire rate for a University car supplied to the University
includes the cost of:
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4.7
planned service, maintenance and repairs
vehicle road fund licence
replacement of worn tyres
UK breakdown and recovery service
The employee is responsible for:
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keeping the car secure (and alarmed as appropriate)
parking safely on campus when at the University and paying appropriate
car parking charges
parking the car off road where possible when not being used.
removing any University property from the car when left unattended
4.8
An employee who chooses a University car whose monthly charge is less than
the allowance will not receive any payment for the difference.
4.9
An employee must not modify or add accessories to a University car without
the permission of the Head of Department. If permission is granted, the
employee will be responsible for the cost of the modification or accessories
and the cost of removing them at the end of the contract if necessary, any
costs of making good and/or extra depreciation associated with the
modifications.
4.10
An employee is responsible for maintaining the University car in a clean and
tidy condition, and that it is regularly serviced and maintained in accordance
with the schedule set out by the manufacturer.
4.11
If an employee finds a fault with their University car, they should report it in the
first instance to the supplier of the car. The supplier will authorise any
necessary repair work to be carried out and pay the cost of the repair. The
costs for any unplanned maintenance or repair work will be recharged to the
University accordingly. (Employees should note that if a fault with or repair for
a University car is considered to be due to negligence or misuse of the car on
the part of the employee concerned, the University will seek to recover the full
cost of the repair from the employee.)
4.12
The University car is available to the employee for private use and will
therefore be subject to “benefit in kind” taxation which will be deducted via the
payroll. The employee must notify their local tax office of any change in
circumstances in writing with a copy to the Payroll Office in the University. The
University car is available for the employee’s partner or immediate family
member to drive subject to approval from the Head of Department and subject
to the conditions of cover stated in the University’s Vehicle Insurance Policy –
see http://www2.warwick.ac.uk/services/finance/insurance/motorfleet. See
Section 9 for Insurance details and requirements. The key qualifying
conditions are that a partner or family member must be over 21 years of age,
hold a full UK or EU equivalent driving licence, which has been in force for at
least 1 year and have no serious driving convictions (any period of
disqualification must have expired by at least 1 year). If the designated
partner/family member is under 25 and has an ‘own fault’ accident, the
University Car/Car Allowance Policy
4
employee will be responsible for the payment of the excess for any insurance
claim. This provision will be reviewed from time to time.
4.13
Employees who choose the University car option will first be allocated an
unassigned car from the University fleet in the appropriate category. The type
and capacity of car assigned to the employee will be appropriate to their job
role and will meet the eligibility criteria specified in section 5. If there are no
unassigned cars available, the employee may choose a new University car
from a list of qualifying cars, which is available from the University Transport
Manager.
4.14
Approximately four months before the end of the contract term the employee
to whom the University car is assigned will be contacted and will be offered:
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an unassigned company car
a new University car supplied on contract hire
payment of the monthly car allowance into salary
4.15
The University reserves the right to extend the contract term of a University car
if it is in the University’s financial interests to do so. In such circumstances the
employee will be contacted and consulted before any decision is made.
5.0
MONTHLY CAR ALLOWANCE
5.1
The monthly car allowance is payable in return for the employee’s agreement
to be mobile at the reasonable request of the University, and is equivalent in
value to the provision of a company car, but with the addition of a payment of
£10 as a contribution towards the cost of the employee’s car insurance
premium referred to in section 10.
5.2
The monthly car allowance is non-superannuable (ie does not contribute
towards pension payments) and is not subject to any annual pay award. It will
be subject to review at intervals and amended accordingly.
5.3
The monthly car allowance must be used by the employee to fund the
acquisition, running costs and insurance for a private car used for business
travel. The allowance will be subject to the following eligibility criteria (which
the employee must supply documentary evidence of meeting)
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the car used for business travel must be less than 4 years old
have a maximum registered carbon dioxide (CO2) exhaust emissions of
150g/km
have a minimum Euro NCAP safety rating for driver and passengers of 4
stars
have a manufacturer fitted alarm and vehicle security system fitted as
standard.
be fitted with a hands-free mobile phone kit or Bluetooth compatibility for
hands free mobile phone
be suitable and appropriate for business use (the University reserves the
right to disqualify any car used by an employee that is considered
unsuitable or impractical for business use)
be insured for Class 1 business use
University Car/Car Allowance Policy
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5.4
The University will supply the employee with the following safety items where
they are not included in the specification of a car, which remain the property of
the University:
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a first aid kit
a high visibility jacket or vest
a warning triangle
a torch
5.5
The monthly car allowance will be paid into the employee’s monthly salary and
will be subject to current PAYE taxation and National Insurance contributions.
5.6
Employees must ensure that the car used for business travel is regularly
serviced and maintained in a safe and road worthy condition at all times. The
employee’s car used for business travel must comply with the Road Traffic Act
and at all times display a valid vehicle tax, have a current MOT certificate
(where required) and be insured for business use. Employees are responsible
for:
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checking fluids and lubricants regularly
checking tyre pressures, tread depth and general condition of all tyres
regularly (note: minimum legal tread depth in UK is 1.6mm across 75% of
the width of the tyre and 100% of the circumference)
checking lights and electrical equipment regularly
servicing in accordance with the manufacturer’s schedule
keeping the car secure (and alarmed as appropriate)
parking the car off road where possible when not being used
parking safely on campus when at the University and paying appropriate
car parking charges
removing any University property from the car when left unattended
5.7
The University reserves the right to inspect vehicle documents and carry out
physical checks of an employee’s private car used for business travel without
notice.
5.8
If an employee opts to receive the monthly car allowance, but then wishes to
take a University car instead, the employee must submit a written request to
the Head of Department.
6.0
BUSINESS MILEAGE RATES
6.1
Business Mileage rates are paid to employees using University cars or
receiving the monthly car allowance and are in line with the Approved Mileage
Allowance Rates (AMAR) issued by HMRC, which are reviewed from time to
time. The rates can be viewed on the University intranet:
www2.warwick.ac.uk/services/humanresources/payroll/expenses/uk1/travel
6.2
Mileage is paid for authorised business miles accumulated less the distance
between the employee’s normal residence and the employee’s normal place of
work.
6.3
Fuel cost is not reimbursed by the University for any private mileage incurred
while using a company car.
University Car/Car Allowance Policy
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6.4
The mileage allowance rates for essential car users are the same; the
allowance factors in the cost of wear and tear and depreciation. A higher
mileage rate is paid to employees who occasionally use their private car for
business and the higher rate reflects an allowance for wear, tear and
depreciation.
7.0
UNIVERSITY CAR TAX “BENEFIT IN KIND”
7.1
At the end of each financial year, the University will collate data on the use of
University cars in the form of a return for HMRC (Her Majesty’s Custom and
Revenue). A copy of form P11D will be sent to employees assigned University
cars to assist them in the completion of their own tax return.
7.2
The University has a duty to inform the HMRC of the monthly payments made
by the employee who adds optional extras to their company car. Such
payments reduce the amount of taxation levied on an employee for the benefit
in kind they receive through use of the car.
7.3
It is the responsibility of the employee to inform HMRC at the earliest
opportunity of any changes that could affect their personal tax liability.
7.4
An employee who is assigned a University car, which has accessories added
by the previous driver, will be responsible for paying the benefit in kind tax
liable in respect of the P11D value of the upgraded car. Where the tax liability
represents a substantial increase to the employee’s expected level of benefit
in kind tax liability, individual circumstances will be considered.
8.0
TEMPORARY CAR
8.1
There may be occasions when it is necessary to supply an employee with a
temporary contract hire car or short-term hire car. Arrangements for an
employee to use a temporary contract hire or a short-term hire car will be
decided and organised by the Head of Department, following advice from the
University Transport Manaqer.
8.2
Use of a temporary contract hire car or short-term hire car is considered by
HMRC as a benefit in kind and therefore tax is payable by the employee
accordingly.
9.0
INSURANCE FOR UNIVERSITY CARS
9.1
All vehicles owned, on contract hire, rented or loaned to the University are
covered by the University’s fully comprehensive motor insurance policy which
is available at http://www2.warwick.ac.uk/services/finance/insurance/motorfleet
9.2
Departments must ensure that individuals are suitably qualified to drive and
must obtain a copy of the driving licence of anyone (including individual and
nominated authorised driver) intending to drive a vehicle owned or hired by the
University (a provisional licence is not acceptable). Driving licences should be
examined at least once on an annual basis. The nominated authorised driver
must also complete the Additional Drivers Form (Appendix 1) and submit this
to the University Purchasing Office with a copy of their driving licence.
University Car/Car Allowance Policy
7
9.3
The policy does not provide Breakdown cover which is the responsibility of
Departments to arrange.
10.0
INSURANCE FOR EMPLOYEE’S PRIVATE CAR USED FOR BUSINESS
TRAVEL
10.1
Employees who use their private car for business travel must arrange Class 1
Business Use insurance cover. The University must receive a copy of the
employee’s motor insurance certificate which will be held on the employee’s
personal file, before the monthly car allowance payments are made.
10.2
It is the responsibility of any employee in receipt of the monthly car allowance
to maintain valid insurance cover for the use of their car on business and to
submit this to the Department. The University cannot be held responsible if,
for any reason, the employee’s motor insurance policy becomes invalid and
the employee is then involved in an accident, or has a claim made against
them. The employee must notify the Head of Department and the Transport
Manager if he/she is no longer covered.
11.0
ENTITLEMENT TO DRIVE
11.1
Before becoming an essential car user, all drivers including nominated
authorised drivers must present their original driving licence and information
on eye examinations/medical conditions to their line manager for inspection
and a copy(s) will be held on the employee’s personal file.
11.2
Driving licences will be checked at least once every 12 months, but the
University reserves the right for line managers to check driving licences more
frequently where a driver has accumulated penalty points on their driving
licence.
11.3
Employees must inform their line manager immediately if they or a nominated
driver receive any fixed penalty points, endorsements on their driving licence,
or any convictions for a driving related offence.
11.4
The University’s insurers reserve the right to refuse insurance cover for any
driver and their decision is final. Should such a decision have an impact on
the employee’s ability to carry out his/her job role, this will be discussed with
the employee.
12.0
FITNESS TO DRIVE
12.1
Employees who drive a car on University business have an obligation to inform
the Driving and Vehicle Licensing Authority (DVLA), and the University, if they
have a medical condition that may have an adverse effect upon their fitness to
drive. Further information can be obtained from www.dvla.gov.uk or from the
University’s Transport Manager. Failure by the employee to notify the
University of any Medical Conditions that affect their fitness to drive may result
in further action being taken against the employee.
12.2
If an essential car user has their driving licence suspended by the DVLA for
medical reasons, a meeting will be held between the employee, their line
manager/Head of Department and a member of the Human Resources Team
in order to discuss the impact on the employee’s ability to carry out his/her job
role.
University Car/Car Allowance Policy
8
12.3
It is a legal (and disciplinary) offence for a driver to drive a vehicle whilst under
the influence of alcohol or drugs at any time. Employees are expected to
comply with the prevailing law and regulations at all times.
12.4
The University reserves the right to require an essential car user to undertake
a medical examination, including a sight examination, at any time.
13.0
HEALTH & SAFETY
13.1
The University’s Safety in the University (SITU) policy covers Transport and
Travel in Part 17. It covers aspects associated with driving and makes
reference to current legislation such as the use of mobile phones whilst driving
and how the smoke-free legislation affects the use of company vehicles.
13.2
Employees must familiarise themselves with the relevant sections of this policy
before driving on behalf of the University. Full details of Part 17 can be viewed
using the following link:
http://www2.warwick.ac.uk/services/safety/health_and_safety/policy/17/
14.0
DRIVER TRAINING
14.1
Essential car users may be required to participate in driver training which will
equip a driver with skills for defensive driving and to drive in an in an ecofriendly style, helping to reduce fuel consumption, CO2 emissions and the wear
and tear of the car.
15.0
MOTORING OFFENCES
15.1
Employees are responsible for paying any fines imposed upon them for
motoring offences, including parking offences, which they have committed
whilst in possession of a University car or when using a private car for
business.
15.2
The registered owner of a University car used by a University employee is the
contract hire car supplier. Should the registration number of a contract hire car
be reported to, or noted by, the police for any reason, or taken by a speed
camera, the police will contact the supplier to establish who is the driver of the
car. The University is obliged to supply the name and address of the principal
driver to the authorities as and when requested. In some cases the supplier
may have to pay a fixed penalty notice and seek to recover this from the
University, incurring an administration fee. Before becoming an essential car
user an employee must give consent to the University recovering all costs for
fixed penalties by deductions from pay, and for any road traffic offences where
an employee is subsequently charged and convicted.
15.3
If an essential car user receives fixed penalty points or endorsements to
his/her licence, the employee must present the amended licence to the
University immediately and a copy will be held on the employee’s personal file.
15.4
In the event of an employee being disqualified from driving, a meeting will take
place between the employee, their line manager/Head of Department and
Human Resources in order to discuss the potential impact of this on the
employee’s ability to carry out their job role. In the case of disqualification,
University Car/Car Allowance Policy
9
Heads of Department/line managers may discuss whether the allowance or
University car may be withdrawn or continued. The longer the disqualification
the more likely it is that the allowance or car may be withdrawn immediately.
15.5
Failure by the employee to notify the University of any motoring offences or
disqualification from driving may result in further action being taken against the
employee.
16.0
TAKING A UNIVERSITY CAR ABROAD
16.1
Before taking a University car abroad for pleasure or business purposes, the
employee must seek approval from the Head of Department. If approval is
granted, the employee must ensure that they are in possession of the following
documentation:
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valid UK driving licence
certificate of car insurance for cover on business outside the UK
form VE103 from for the University car supplier
additional Breakdown and Recovery cover for the University car in the
event of an accident or breakdown outside the UK – this must be paid for
by the employee
travel insurance including employer’s liability – provided by the University if
for business purposes
16.2
If an employee has to leave a University car in the UK during an extended
period of work overseas, they must consult their line manager/Head of
Department and Human Resources about the safekeeping of the car while
they are away. Please see also 19.1 below.
16.3
An employee who takes their own car abroad on University business must
ensure that they are in possession of the following documentation:
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valid UK driving licence
certificate of car insurance for cover on business outside the UK
travel insurance including employer’s liability – provided by the University
for business purposes
additional Breakdown and Recovery cover for the employee’s private car in
the event of an accident or breakdown outside the UK – this must be paid
for by the employee
16.4
Employees should note that different rules and legislation apply when driving
in foreign countries it is the employee’s responsibility to ensure that they
comply with the local and national rules and legislation applicable to that
country at all times.
16.5
Information and guidance on driving abroad can be found on the following
website:
http://www.theaa.com/motoring_advice/overseas/index.html
17.0
CHANGE OF JOB ROLE
17.1
When an essential car user leaves his/her job role, the requirement for that
role to be designated for an essential car user will be reviewed.
University Car/Car Allowance Policy
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17.2
Employees who are essential car users who change job and whose new role
requires an essential car user will be eligible for a University car or monthly car
allowance as set out in Section 22.
17.3
Employees who are essential car users and who are promoted to a job which
still requires an essential car user and which carries a higher allowance, will
continue with their existing University car arrangement until the contract has
expired. They will, however, receive a monthly payment with their salary
which is equivalent to the difference between their existing level of car
allowance and the allowance applicable to the new job.
17.4
If an employee who has been receiving a monthly car allowance changes job
to one which does not require an essential car user, the monthly car allowance
will normally cease immediately.
17.5
If an employees who has a University car changes job to one which does not
require an essential car user, the arrangement to have a University car will
normally cease within one month.
17.6
Reviews on an employee’s essential car user status will take place from time
to time and if it is identified that the status should be removed the provisions in
17.5 and 17.6 above will apply.
18.0
SECONDMENTS AND TEMPORARY POSITIONS
18.1
Employees who take up a secondment or change roles on a temporary basis
will continue with their existing arrangements for both the University car and
monthly car allowance, as long as the new job role remains as an ‘essential
car user’. If employees take up secondments or temporary positions which do
not require an essential car user the situation will be considered on an
individual basis.
19.0
ABSENCE FROM WORK
19.1
An employee who is absent from work for an extended period e.g. because of
sickness, will retain any University car assigned to them, or continue to receive
the monthly car allowance at the discretion of the Head of Department.
Employees on maternity leave will retain the University car or car allowance for
the full period of their maternity leave.
20.0
SUSPENSION FROM WORK OR GARDEN LEAVE
20.1
If for any reason, the employee is suspended from work, is placed on garden
leave or is working a period of notice, the University reserves the right to
withdraw the employee’s University car and pay the employee an allowance
equivalent to the value for the normal use of the University car instead. In
such cases a meeting will be held with the employee accordingly.
21.0
RETURN OF COMPANY CARS
21.1
An employee, who adds optional extras to a University car (see section 4) and
leaves the University before the expiry of the contract for the company car, will
be required to make a final payment for any additional contributions
University Car/Car Allowance Policy
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outstanding.
21.2
At the expiry of the contract hire of a company car, an employee will have the
opportunity to purchase the car from the supplier on a commercial basis.
Details can be obtained from the University Transport Manager
21.3
The car must be returned with (where issued):
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The car handbook, documents and service information;
Interior floor mats
all sets of keys
all safety items supplied by the University such as first aid kit etc
any optional extras and standard equipment supplied with the car
21.4
The employee must ensure that they have removed all personal accessories
from the car. If the employee considers that removal of any personal
accessory could result in damage to the car, they must consult the University
Transport Manager.
21.5
A standard allowance is made by suppliers for normal wear and tear on
contract hire cars by the end of a contract period, but anything above this
allowance will be chargeable to the University when the car is returned to the
supplier and will be recovered from the employee.
22.0
MONTHLY ALLOWANCES AND ELIGIBILITY CRITERIA
Salary Monthly
Grade Contract
Hire
Allowance
inc. Vat
1a to
£350.00
5
Monthly Car
Allowance
CO2
Emissions
EuroNCAP
Age of
Safety Rating Own Car
£360.00
< 150g/km
Min. 4 stars
Max. 4 yrs
6&7
£420.00
£430.00
< 150g/km
Min. 4 stars
Max. 4 yrs
8
£525.00
£535.00
< 150g/km
Min. 4 stars
Max. 4 yrs
9+
£590.00
£600.00
< 150g/km
Min. 4 stars
Max. 4 yrs
(includes £10
contribution
towards
insurance)
22.1
All allowances are subject to review (see Section 1.0 above) by the Reward
Manager in conjunction with the Transport Manager.
22.2
A list of qualifying cars is available from the University Transport Manager on
request.
22.3
The University reserves the right to withdraw the University car policy and car
allowance scheme at any time by giving reasonable notice.
University Car/Car Allowance Policy
12
SUPPLEMENTARY DECLARATION IN RESPECT OF ADDITIONAL DRIVERS
Insured's/Proposer's full name: The University of Warwick Certificate Number: 25522626
A
Full Name (State Mr, Mrs, or Miss)
B
State Country of Birth (if overseas state how long
resident in the UK)
State type of Licence(s) held – Car/HGV/PSV
Full/Provisional.
C
D
Also State Country of Issue.
State Driving Licence Number
E
State Home Postal Code
F
State National Insurance Number
G
Age (State Date of Birth
H
I
Occupation(s) (Full and Part Time)
Give details of any conviction or pending
prosecution in connection with any motor vehicle
and amount of fine including details of any fixed
penalty offences. Please state any penalty points
or suspensions imposed.
J
K
L
If None say "None"
State how long regularly driving motor vehicles in
the European Union. State how long in each
Member State(s)
(If only motor cycle or tractor experience please
state so).
State date on which driving test passed for each
type held, eg car/HGV/PSV.
Also state Country of Issue
State if suffering from:
(1) defective vision or hearing
(2) now, or within the last five years, from
diabetes, fits or any complaint of the heart
(3) any other physical or mental infirmity. If so
give details.
M
N
O
If None, say "None".
State Company or Underwriter with whom
previously insured in respect of any motor
vehicle.
If None say "None"
State if any Company or Underwriter has ever
declined, cancelled or refused to renew in
connection with the insurance of any motor
vehicle or increased the premium or required the
first amount of any loss to be borne or imposed
any special condition.
If No say "No".
Give details of any accident whilst driving any
motor vehicle during the last three years and full
cost involved.
If None say "None".
I/WE, the undersigned, do hereby declare and warrant that the above statements and particulars are true and that within my/our knowledge
there is no other material fact which should be disclosed.
I agree that the University may use these details to confirm my licence with DVLA
Additional Drivers signature…………………………………………………
..Dated………………………………………
I/WE hereby agree that this Supplementary Declaration shall, in conjunction with my/our original proposal, be the basis of the contract
between me/us and AIG Insurers.
Insured's/Proposer' signature...........................................…………………… Dated..............................................
Please return completed form to Andi Poole, Administrative Assistant, Estates Office
Confirmation that driving licence has been checked by the Estates Office and is in line with declaration under I above.
YES/NO
2 July 2015