Home Menu Search

Update for patients: applying for and renewing your lorry and bus licence with a D4 medical form

In consultation with the British Medical Association (BMA), GPs have agreed to aim to accommodate D4 medical appointments for working drivers to make sure that they are available to the transport industry.

If your lorry or bus driving licence is due to expire as normal, or if you’ve been issued a 1-year licence without a D4 medical report that is due to expire:

  1. You’ll have been sent an ‘application for renewal of lorry and bus entitlement’ form 2 months before the licence expiry date.
  2. You should arrange for an appointment for a D4 medical examination with a doctor and an optician as soon as you receive the reminder.
  3. After the examination, fill in the form and send it to the address on the form as soon as possible and before the licence expiry date.

If your lorry or bus driving licence was automatically extended by 11 months:

  1. You will not be sent another ‘application for renewal of lorry and bus entitlement’ form  before your 11 month extension ends. You’ll have received a reminder letter, before the original expiry date that told you if you need to have a D4 medical examination to renew your licence.
  2. If you’ve not kept the reminder you should order a D2 pack and book an appointment with  a doctor and an optician for a D4 medical examination as soon as possible but no earlier than 2 months before the automatic extension to your licence is due to expire.

Book your D4 medical examination as soon as possible

Your appointment could be in several weeks so you need to be flexible about when you can attend.

Remember to take your:

  • spectacles (when going to your optician’s appointment) if you need to wear them for driving
  • current driving licence and ‘application for renewal of lorry and bus entitlement form
  • take confirmation of employment or offer of employment if you’re applying for a provisional licence for a lorry or bus driving licence or its already expired

Temporary scheme for 1-year lorry and bus driving licences (without a D4)

The temporary scheme, put in place because of the impact of coronavirus on NHS doctors, to issue 1 year lorry and bus licences to driver aged 45 and over without a D4 is ongoing but only in exceptional circumstances, if you are unable to get a D4 medical examination.

The D4 waiver scheme only applies under the following conditions:

  • if your lorry or bus driving licence expires after 1 January 2020 
  • you have not already been issued a 1 year licence in this scheme

If your licence shows your entitlement to drive lorries and buses expired between 1 August and 31 December 2020, and was automatically extended for 11 months, you cannot apply to the D4 waiver scheme for a one year licence without a D4. You must renew, with a D4, when your 11 month extension is due to expire.

Only in exceptional circumstances should you apply to DVLA without the D4 medical report.

Further information

BMA guidance to GPs to accommodate D4 medical examinations for working drivers excludes car driving licence renewals with small lorry (C1, C1E (107)) and minibus (D1 (101) and D1 (101,119)) entitlements issued before 1997 where these entitlements are used for driving large recreational vehicles rather than for working in the transport sector. D4 appointments may be available from private sector providers but these may also be subject to delay.

You may have received a reminder letter asking you to provide a D4 medical form. If you cannot get a D4 medical appointment before you renew you can still apply for a car driving licence and reapply for the above entitlements after your D4 medical examination and application form has been filled in.


APRIL 2021

Updated on Wednesday, 14 April 2021, 89 views

Related guidance...

Quick step by step guide to the GP Induction and Refresher scheme (England)

This is a brief summary to help you understand all the steps required under the GP I&R scheme in England. GP I&R scheme in England....

Preparing for a CQC inspection

I'm sharing here some tips I have learned over the years in preparing for a CQC inspection- both as a former practice manager, and from...

Home page

LLR LMC April Newsletter Please click here to view the April Newsletter. This months' edition includes information on: Flu...

Request for inclusion of information on death registration

Information provided by Registration and Coroner’s Service Manager at Leicestershire Registration Service Death Registrations with...

Leicester City and South Coroner message - EMAS notifications

Sent to practices on the 20th January 2020. The Leicester City and South Coroner has asked for the LMC to circulate the below message...

Police requests for medical notes from general practice

The BMA has received new legal advice regarding medical note requests received from the police, which are detailed below. Pro forma for...

Important update regarding Cremation Form 4 and Medical Certificate of Cause of Death

The LMC have made some changes to the Cremation Form 4 process. If you use the PRISM version on SystmOne there is now an option to...

Update on Death Registrations

The Registrar of Births, Deaths and Marriages office are currently preparing for the next phase of death registrations for any deaths...

Completion of Medical Certificates of Cause of Death (MCCD) and Verification of Death (VoD)

There have been many strands running around various aspects of the death process, with many expressing concerns regarding the potential...

Coroner’s Inquest Advice for GPs

Coroner’s Inquest Advice for GPs Most GPs will be called upon to write a Coroner’s report during their career, and some will be called...