Apply for out-of-pocket expenses for a cancelled driving test - Claim form

Sep 18, 2026

Claim form for reimbursement of out-of-pocket expenses related to a cancelled driving test. Collects candidate and payment information, including personal details, test centre and cancellation notification dates, application reference, and relevant certificate numbers. Includes instructor and hourly rate details for practical tests, plus receipts and supporting documents requirements such as travel expenses, vehicle hire, and lost earnings evidence. Requires candidate declarations, signature, and permissions for DVSA to contact named parties, along with data protection consent and official-use fields.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages5

Reading Time13 min

AccessFree to download

Section 1 - Your details

Section 2 - Instructor hourly rate (practical tests only)

Section 3 - Claim details

Section 4 - Candidate declaration

Data protection

For official use only

What you need to do

1 Apply for out-of-pocket expenses for a cancelled driving test Claim form Section 1 Your details Full name (please include title Mr/Mrs/Miss/Ms/Other) Address | | | | | --- | --- | --- | | | | | | Postcode | | | Daytime telephone number Can we leave a message with someone else? Yes No Fill in at least 2 of the 3 details marked (*) below *Theory test certificate number *Application reference number Test centre Test date Test time Date you were told your test was cancelled Helpline 0300 200 1122 DVSA (D) 964 Section 2 Instructor hourly rate (practical tests only) 2 Ask your instructor or trainer to fill in this section or send us a receipt (see the guidance notes) I confirm that the candidate named in Section 1 paid: £ I confirm that my standard hourly rate for instruction is: £ Instructor’s signature: Instructor number: Daytime phone number: Section 3 Claim details Helpline 0300 200 1122 DVSA (D) 964 Section 4 Candidate declaration I agree that you can contact anyone named on this form to check my claim. I agree that all the information provided is correct. My test was cancelled by the Driver and Vehicle Standards Agency at short notice and I want to claim the amount shown. I understand that filling in this form does not guarantee that I will receive a refund. Your signature: Data protection We collect, use and store your personal data so that we can assess eligibility for out-of-pocket expenses for a cancelled driving test. We may share your personal data if we have a lawful reason, for example, as part of a criminal investigation or to prevent fraud. Find out more [at www.gov.uk/dvsa/privacy](at www.gov.uk/dvsa/privacy) 3 Helpline 0300 200 1122 DVSA (D) 964 For official use only Reference number: Category: Cancellation reason: Amount recommended for payment: Grade: Date: Certified by: Name: Grade: Date: Authorised by: Name: Payment made: Name: Grade: Date: Helpline 0300 200 1122 DVSA (D) 964 What you need to do For help filling in this form, refer to the guidance notes. Fill in the form using guidance notes Make sure you’ve signed it Make sure you’ve given permission for DVSA to contact your instructor and employer Make sure you’ve put your receipts/documents in the envelope, including receipts for travel expenses or vehicle hire, and a letter from your employer if you’re claiming for lost earnings (see the guidance notes) Post it to DVSA DVSA will consider your claim DVSA will process your payment if your claim is successful For all theory tests: Driver and Vehicle Standards Agency Customer Service Department PO Box 1286 Warrington WA1 9GN 0300 200 1188 For all practical tests: Driver and Vehicle Standards Agency PO Box 349 Newcastle-upon-Tyne NE12 2GN 0300 200 1122 You do not need to print this page or post it to us. Helpline 0300 200 1122 DVSA (D) 964

FAQs

What information must be filled in on Section 1?

Provide your full name and address, plus contact details. You also need to fill in at least 2 of the 3 marked details, including the theory test certificate number and/or application reference number, along with test centre, test date, and test time.

What does Section 2 require for practical tests?

Include the instructor hourly rate and arrange for your instructor or trainer to complete the section or send a receipt, as guided. You also confirm payment and your standard hourly rate, and the instructor signs and includes their instructor number.

Does submitting the form guarantee a refund?

No. The declaration states that filling in the form does not guarantee you will receive a refund; DVSA will consider the claim and process payment only if the claim is successful.

Sep 18, 2026

Uploaded by eBook King