Form

Report your medical condition (form V1)

Report certain types of visual conditions to DVLA if you're a car driver or motorcyclist.

• From: Driver and Vehicle Licensing Agency
• Published: 1 April 2012
• Last updated: 5 January 2026
  Show all updates

  1. 5 January 2026

     Updated PDF and accessible V1 form.

  2. 4 April 2025

     Updated PDF and accessible ODT.

  3. 18 November 2024

     PDF and ODT updated.

  4. 20 March 2024

     Updated pdf and odt.

  5. 13 June 2023

     The following conditions have been removed: * branch retinal vein occlusion * cataracts * hemianopia * macular degeneration * nystagmus * optic atrophy * optic neuritis * reduced visual acuityretinitis pigmentosa * retinal treatment * retinopathy * tunnel vision * usher syndrome

  6. 10 August 2022

     Updated PDF.

  7. 20 July 2022

     Updated PDF

  8. 26 November 2019

     Update to Welsh form

  9. 25 November 2019

     PDF updated

  10. 22 May 2018

      PDF updated

  11. 26 February 2018

      Update to Welsh PDF

  12. 8 February 2018

      English PDF updated.

  13. 10 October 2017

      PDF updated

  14. 2 August 2017

      Added translation

  15. 4 May 2017

      PDF updated

  16. 24 April 2017

      updated V1 form - confidential medical information

  17. 8 February 2017

      PDF updated

  18. 17 November 2016

      Updated pdf.

  19. 7 August 2015

      Changes have been made at questions 3g, details field has been added.

  20. 24 June 2015

      Changes have been made at questions 3g, word ‘injections’ added at 'IF YES' to mirror question.

  21. 9 March 2015

      Changes have been made to questions 3f and 3g.

  22. 11 June 2014

      Changes have been made at questions 3b and 9, the DVLA logo has also been updated

  23. 28 February 2014

      Original question 4 has been removed

  24. 1 April 2012

      First published.

Documents

V1

Ref: V1

PDF, 1 MB, 7 pages

This file may not be suitable for users of assistive technology.

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.

V1 - accessible

ODT, 28.9 KB

This file is in an OpenDocument format

Details

Use this form to report these medical conditions:

• blepharospasm
• diplopia (double vision)
• glaucoma
• nyctalopia (night blindness)
• retinitis pigmentosa
• visual field defects
• other related conditions

Check the list of health conditions if yours isn’t listed.

Use a different form to report these conditions if you have a lorry, bus or coach licence.

Find out what happens after you tell DVLA.