Vehicle Use Agreement | Risk Management

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 Tracy VanErem, BUSFIN, CL830.
An email message will be sent to you and your supervisor when you have been authorized to drive.
NOTE: Students and volunteers are purged every September 1 and must re-apply.

First Name:
Middle Initial:
Last Name:

Student/Student Employee State Employee Volunteer

Agency:
Department:
UWGB Faculty or Student Email: No department/shared email addresses

Supervisor's Name:
Supervisor's Email: