UNCLASSIFIED
SENSITIVE: HEALTH INFORMATION
To renew your driver licence you need to complete this application and sign the declaration. Take the completed form with your current licence and the
required fee to a Service NSW Centre. You may be eligible to renew you driver licence online. For more information, visit service.nsw.gov.au
If you hold a Mobility Parking Scheme card you may have to supply a NSW Fitness to Drive Medical Assessment before your licence is renewed. This
will not be necessary if your licence is already subject to medical review by Transport for NSW.
If you apply for a new or existing NSW Photo Card at the same time as your licence renewal, it may be issued at a lower fee. If you apply at any other
time, you will be required to pay a higher fee. Visit our website at roads-maritime.transport.nsw.gov.au for more information.
Call us on 13 22 13 for further advice. Hearing or speech impaired? Call us on the National Relay Service: TTY users phone 13 22 13 then ask for
13 22 13. Speak and Listen users phone 1300 555 727 and ask for 13 77 88.
Note: You are not entitled to a NSW licence if you have permanently moved interstate or overseas.
Page 1 of 2
Catalogue No. 45071506 Form No. 1546
(04/2021)
Licence Renewal Application
To save time please fill in this form before attending a Service NSW Centre.
A
NSW licence number
NSW Photo Card number
(if applicable)
What type of licence are you renewing?
1 yr 3 yrs 5 yrs 10 yrs*
• Driver licence
• Provisional licence holders can renew for:
P1 (18 months) P2 (36 months) Note: (P2 rider 30 months)
• Combined licence: (Driver & Boat/PWC)
1 yr 3 yrs 5 yrs 10 yrs*
*Only eligible unrestricted class C and R licence holders may be issued a 10 year licence
APPLICANT DETAILS - PLEASE USE BLOCK DETAILS
FAMILY NAME GIVEN NAME(S)
RESIDENTIAL ADDRESS POST CODE
MAILING ADDRESS (if different from residential address)
POST CODE
MOBILE NUMBER EMAIL ADDRESS DRIVER LICENCE NUMBER
Can you produce your NSW Licence/Photo Card
Yes No You must produce your proof of identity documents
1. Do you hold or have you ever held another licence to drive or ride in NSW or a NSW PC in the name shown above or another name?
Go to 2
No
Give details below - (Details are not required if it is the same licence/customer number as above)
Yes
NSW LICENCE/CUSTOMER/PC NUMBER EXPIRY DATE
OTHER NAME (IF APPLICABLE)
Day Month Year
/ /
2. Do you have a current:
• NSW Pensioner Concession Card (PCC)
• Centrelink Confirmation of Concession Card Entitlement
from stamped PCC
• DVA letter or statement certifying a disability pension of
70 per cent or more
• Centrelink letter confirming Carer Allowance (for Photo Cards only)
• NSW Seniors Card (for Photo Cards only)
• Department of Veterans' Affairs (DVA) Gold Card endorsed
'TPI' or 'EDA' or 'War Widow' or 'War Widower'
• A current intermediate pension or an assessment at 50 or
more impairment points
Go to 3
No
You may be entitled to a concession. If you answer yes, evidence should be produced.
Pensioner eligibility must be verified electronically with Services Australia - Centrelink.
Yes
3. Combined Licence Options
I want to renew my licences separately
Go to Q4
I want to renew my licences as a combined driver & boat/PWC licence. I understand that the expiry dates will be aligned and that additional
fees apply.
Boat/PWC licence number (Bring your boat licence with you)
4. Would you like a NSW Photo Card issued with your NSW driver licence? (Fees may apply. Additional application form not required)
No
Yes 5 yr 10 yr (21 years or older)
5. Are you an Aboriginal person or Torres Strait Islander?
Answering this question is voluntary. We may use this information to develop driver licensing and vehicle registration services for Aboriginal people.
We will not disclose this information without your consent unless authorised by law.
No Yes
Page 2 of 2
Catalogue No. 45071506 Form No. 1546
(04/2021)
UNCLASSIFIED
SENSITIVE: HEALTH INFORMATION
6. Since last obtaining your licence, have you been prohibited
or refused from driving a motor vehicle/vessel or riding a
motorcycle in NSW or elsewhere?
No Yes
Give details
7. Since last obtaining your licence, have you been disqualified,
cancelled, suspended or is there a charge pending against
you or is your licence subject to an appeal for driving, riding
or maritime boating offences?
No
Yes
Give details
Please Note: If you answer Yes to any question from 8 - 12 for the first time, your licence may not proceed until a satisfactory NSW Fitness
to Drive medical Assessment form has been received. Visit a Service NSW Centre or call us on 13 22 13 to obtain a medical assessment
form. If you provided a medical assessment a further assessment may not be required.
8. Do you have Diabetes?
No Yes
controlled by:
Insulin
Oral medication
Diet (medical not required)
9. Do you have Epilepsy?
No Yes
10. Have you had attacks of giddiness, blackouts, fainting or
other sudden periods of unconsciousness in the last 5 years?
No Yes
11. Do you have any medical, physical or mental disabilities
which may affect your driving?
No
Yes
Give details
12. Do you regularly use drugs (such as stimulants or drugs
of addiction) other than prescription medication, which
may affect your driving?
No
Yes
Give details
13. Will you be wearing glasses or contact lenses when
driving or doing the eyesight test?
No
Yes contact lenses glasses
14. Do you have any eye or vision condition that may affect
your driving? e.g. monocular vision, double vision, visual
field defects, poor night vision.
Go to 16No
Go to 15
Yes
15. Does wearing prescription glassess or contact lenses
correct or control this condition?
Provide an eyesight report from an optometrist or doctor.
No
Yes
16. Declaration and Signature
I declare that the contents of this Application are true and correct
I acknowledge that it is an offence under the Road Transport Act 2013 to seek
to obtain or renew a driver licence by false statement or dishonest means
Signature Date
Day
/
Month
/
Year
Please read carefully before you sign. If you do not tell the truth you can be fined. Any licence you hold could be cancelled.
Office Use Only BUNDLE A mailing address checked on DRIVES (if applicable)
Proof of Identity record
Stand alone or primary proof
Document number Secondary proof
Date of issue or E/D
Day
/
Month
/
Year
Eyesight test/Medical report
Pass without glasses or contacts
Pass with glasses or contacts
Eyesight/Medical report
Private
Commercial
Hazard Perception test (1st attempt)
Date
/ /
Passed Failed
(2nd attempt)
Date
/ /
Passed Failed
Driver qualification test (1st attempt)
Date
/ /
Passed Failed
(2nd attempt)
Date
/ /
Passed Failed
NSW Photo Card
NSW Photo Card issued
Combined licence GLS opt in and fee paid GLS opt out, DRIVES updated
PHOTO COMPARISON
No stored image or not requested
Matched Mismatched
Customer Service
representative signature
Staff number
Date
Day
/
Month
/
Year
Personal Information Collection Notice
Transport for NSW is committed to protecting your privacy and ensuring your personal and health information is managed according to law.
Find out why we collect your personal information, including how we use and manage it, by reading our privacy statement at
www.transport.nsw.gov.au/privacy-statement or phone 13 22 13 to request a copy.