Form

Declaration of voluntary surrender for medical reasons

Tell DVLA you want to surrender your driving licence due to a medical condition.

• From: Driver and Vehicle Licensing Agency
• Published: 28 January 2014
• Last updated: 25 June 2026
  Show all updates

  1. 25 June 2026

     The medical surrender form has been updated and an accessible version has been added.

  2. 28 January 2014

     First published.

Documents

Statement of medical surrender

PDF, 120 KB, 2 pages

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Request an accessible format

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email alternative.format@dvla.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Statement of medical surrender - accessible

ODT, 8.77 KB

This file is in an OpenDocument format

Details

Use the declaration of surrender form to voluntarily surrender your entitlement to drive due to a medical condition.