The information given on this form will be recorded and consulted on receipt of an expense claim for business mileage. You will be asked to update and re-confirm this information on an annual basis.
I, the undersigned, confirm that I hold a valid current driving licence. I confirm that my current motor insurance allows me to use my privately-owned vehicle on behalf of the business of my employer*. I confirm that my vehicle has a valid government roadworthiness certificate MOT (if required) and Road Fund Licence. I undertake to make regular checks on my vehicle to ensure that it is in a legal and roadworthy condition at all times and confirm that it is serviced in accordance with the manufacturers’ recommendations.
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