I am the person referred to in the form above. I understand that Fleet Claims Administration Limited (T/A FCLG) on behalf of Genesis will ask DVLA for my driver record information, as and when they require, for the purpose set out in the form above. I understand DVLA will disclose to Fleet Claims Administration Limited (T/A FCLG) all relevant information held in the computerised register of drivers maintained by DVLA.

This includes personal details, driving entitlements, valid endorsements, and disqualifications (if relevant), photo images, Certificate of Professional Competence (CPC) and Digital Tachograph Card details (where appropriate). Medical information will not be provided.

This declaration will expire when I cease driving in connection with the company or in any case, three years from the date of my signature. By ticking this box, I understand the above Fair Processing Declaration, and that further information on Fleet Claims Administration Ltd Privacy Policy and Data Protection obligations can be found by clicking here.