If you are required to undertake a drivers medical, or require safety spectacles, please call 0115 933 0528 instead of using this form.

Fill out your details below accurately and you will receive your voucher within 48 hours (Monday-Friday).

Please book your appointment as soon as you receive your voucher to avoid the voucher expiring.

If you have applied for a voucher and have not received it, please check your Junk/spam folder.
Your name
Home office postcode
Cost code
Work email address
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By applying for this eyecare voucher, I confirm that I am a display screen equipment user

(If applying outside of the normal two yearly testing cycle) I meet the criteria for an annual display screen equipment eyesight test, in accordance with the guidelines.