UWGB Vehicle Use Agreement


Instructions
  • All fields are required. Check your spelling carefully. (If you do not have a middle name, please enter "NO M.I." in the middle initial text box)
  • Click the "Submit Information" button once you have completed the form.
  • Once your information has been submitted, a Vehicle Use Agreement Form will appear.
  • Print out this form, read instructions on form, complete the lower half of the form, sign it, obtain supervisor's signature and send it to Mike Mentzel, CL 805.
  • An email message will be sent to you and your supervisor when you have been authorized to drive.

First Name:
Middle Initial:
Last Name:

Student           State Employee         Volunteer

Agency:
Department:
Email:

Supervisor's Name:
Supervisor's Email: