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    Driver'S Authorization Form-Vehicle Use Agreement: University of Wisconsin-Eau Claire

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    Kleng Kleng
    This document is a driver authorization form from the University of Wisconsin-Eau Claire. [1] It requires individuals like students, employees, volunteers, and agents to complete if they will be driving vehicles for university business. [2] The form collects the driver's information like name, license details, and driving experience. [3] It must be signed by the driver and supervisor agreeing to comply with driving policies and understand that authorization can end if their driving record does not meet standards or employment is terminated.

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    © All Rights Reserved
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    Driver'S Authorization Form-Vehicle Use Agreement: University of Wisconsin-Eau Claire

    Uploaded by

    Kleng Kleng
    40 views2 pages
    This document is a driver authorization form from the University of Wisconsin-Eau Claire. [1] It requires individuals like students, employees, volunteers, and agents to complete if they will be driving vehicles for university business. [2] The form collects the driver's information like name, license details, and driving experience. [3] It must be signed by the driver and supervisor agreeing to comply with driving policies and understand that authorization can end if their driving record does not meet standards or employment is terminated.

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    UWECdriver-s-authorization-form2015-3.doc

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    This document is a driver authorization form from the University of Wisconsin-Eau Claire. [1] It requires individuals like students, employees, volunteers, and agents to complete if they will be driving vehicles for university business. [2] The form collects the driver's information like name, license details, and driving experience. [3] It must be signed by the driver and supervisor agreeing to comply with driving policies and understand that authorization can end if their driving record does not meet standards or employment is terminated.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    40 views2 pages

    Driver'S Authorization Form-Vehicle Use Agreement: University of Wisconsin-Eau Claire

    Uploaded by

    Kleng Kleng
    This document is a driver authorization form from the University of Wisconsin-Eau Claire. [1] It requires individuals like students, employees, volunteers, and agents to complete if they will be driving vehicles for university business. [2] The form collects the driver's information like name, license details, and driving experience. [3] It must be signed by the driver and supervisor agreeing to comply with driving policies and understand that authorization can end if their driving record does not meet standards or employment is terminated.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    University of Wisconsin-Eau Claire

    Office of Loss Prevention & Safety


    McIntyre Library Room 5011
    (715) 836-5482 (Phone)
    (715) 836-4807 (Fax)
    Website:
    https://www.uwec.edu/LPS/index.htm

    DRIVERS AUTHORIZATION FORM-VEHICLE USE AGREEMENT


    Permanent Employee Student Volunteer LTE Agent
    (check all that apply)
    PLEASE PRINT CLEARLY or TYPE
    Drivers Full Name (include full middle name) Drivers License No. State

    Drivers E-mail Address Drivers Date of Birth (mm/dd/yy)


    Drivers Phone Number Number of years driving experience


    Requesting Department Department phone number


    Driver authorization is required for students, limited term employees, agents, volunteers and employees whose job
    requires them to drive on university business. This includes using: a State/University owned vehicle, any rented/leased
    vehicle or a personally owned vehicle while on university business.

    Instructions:
    The first step in becoming an authorized driver is to complete this vehicle use agreement form. The information provided
    allows an initial comparison of the individuals driving record to the minimum standards for driving and determine if they
    can be authorized to drive on University business.

    NOTE: Students driver authorization expires May 31st. Completed forms for students are to be returned to the drivers
    immediate supervisor or faculty sponsor for their signature and promptly forwarded to the Director of Loss Prevention &
    Safety in McIntyre Library Room 5011. Email notification of a denial will be made to both the driver and supervisor/faculty
    member. Please allow processing time up to 10 days. Here is a link to where staff members can check on authorized
    drivers: http://riskinfo.bussvc.wisc.edu/DrAuth/DriverAuth.aspx

    Driver Agreement:
    I acknowledge that I have read the State Fleet Policy and Procedures Manual, Chapter One: Fleet Driver Policies.
    I understand the contents and agree to comply with the policies. Failure to comply is considered a violation of rules.
    I understand that my driving record will be checked periodically and authorization ends when my driving record fails to
    meet the minimum driving standards or when employment is terminated (students must apply each year).

    I further agree to inform my supervisor/faculty sponsor of any negative change in the status of my driving record, such as
    license revocation, restriction or suspension. I understand that any negative change in the status of my driving record or
    the failure to report such change may result in the revocation of the privilege of driving on university business.

    Driver Signature Date (mm/dd/yy)



    Supervisor/Faculty Sponsor Signature Date (mm/dd/yy)

    Supervisor/Faculty Sponsor Name (please print or type) Phone Number

    Risk Manager Signature __Approved __Denied Date Record Check (mm/dd/yy) Meets Minimum driving standards __Y__N

    UWEC REV. 11/15

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