Medical exemptions
A driver or passenger doesn't have to wear a seat belt (including a child restraint or booster seat) if they have a current medical certificate that:
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explains why you are exempt
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is signed by a medical practitioner (a doctor, for example)
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shows the date it was written
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has an expiry date of less than a year from the date of issue
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is in the vehicle when the exempt person is travelling.
Rules for seat belts
The rules for seat belts and child restraints are in Part 16 of the Road Safety Road Rules 2017:
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263A - Requirement that seatbelt etc. be properly adjusted and fastened
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263B - Driver or passenger in motor vehicle must not occupy the same seating position as another person
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264 - Drivers must comply with seatbelt requirements
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264A - Driver must ensure passengers comply with seatbelt requirements
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265 - Passengers 16 years old or older must comply with seatbelt requirements
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266 - Driver must ensure passengers under 16 years old are appropriately secured
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266A - Appropriate securing of passengers under 16 years old
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267 - Exemptions from wearing seat belts - certificate exempting person
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267A - Exemption from wearing seatbelt - seating position not fitted with seatbelt
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267B - Exemption from wearing seatbelt - passenger in police vehicle etc
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267C - Exemption from wearing seatbelt - other exemptions
Assessing Fitness to Drive