Driver commercial health assessment – medical certificate

Use this form to apply for a dangerous goods driver’s licence or a licence to drive a vehicle transporting explosives by road.

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What it contains

Drivers wanting to apply to WorkSafe for a dangerous goods driver licence or a licence to drive a vehicle transporting explosives by road should use this form.

You will need to fill it out and have it signed by a registered medical practitioner. WorkSafe will use the form to decide whether you’re medically suitable for either of these licences.

This document is a blank application form with supplementary notes.