Get M109a

The M109a is an important document for notifying the Department of Transport of any driving impairments. This guide provides clear, step-by-step instructions to help you complete the form online with confidence.

Follow the steps to complete the M109a form efficiently.

1. Click ‘Get Form’ button to access the M109a form and open it in the chosen display area.
2. Fill in the licence holder's details. Ensure you provide accurate information for your driver's licence number, family name, date of birth, given names, and addresses, including both residential and postal. Additionally, include your preferred contact number and email address.
3. Indicate if you have any eyesight impairments. For each condition listed, select 'Yes' or 'No' and provide details if necessary regarding visual aids or other vision disorders.
4. For other driving impairments, state whether you have a permanent or long-term mental or physical condition not previously reported. Answer 'Yes' or 'No' and detail any conditions as required.
5. Specify any treatment or medication you may be receiving for the impairments. Provide thorough descriptions in the provided fields.
6. Indicate if there has been a deterioration in your driving impairment since last reported. Again, answer 'Yes' or 'No' and provide details if applicable.
7. Complete the declaration section, ensuring that all information you have provided is accurate. Sign and date the declaration.
8. Once you have filled out the form, review all sections for accuracy. You can then save changes and choose to download, print, or share the completed form as needed.

Ensure your driving record is up-to-date by completing the M109a form online today.