Vanguard University Driver Authorization Request

THIS FORM ONLY NEEDS TO BE SUBMITTED IF APPLICABLE.

Anyone wishing to drive for business purposes must submit this DRIVER AUTHORIZATION REQUEST form. (i.e. personal vehicles, rental vehicles, university owned vehicles, golf-carts)

Authorization is required before a student, employee, or volunteer may drive for university purposes. A list of authorized drivers is posted on the shared drive at S:\Community\Drivers and is updated as new drivers become approved. Authorizations are valid through August 1st and must be renewed annually.

Date Pickerrequired (mm/dd/yyyy)

While driving for approved university purposes, I agree to furnish and maintain personal automobile insurance coverage and a valid driver's license, to conduct myself in a manner that best represents the university, to prioritize the safety of passen*

I agree

In the unfortunate event of an accident, I understand that Vanguard University carries automobile insurance which may provide assistance, subject to its policy terms, in combination with my personal insurance policy. I also understand that the unive*

I agree

If authorized by the university to drive for business purposes, I will drive as follows: *

Occasional Driver - I will drive 5 times or less during the school year Primary Driver - I will drive 6 or more times during the school year

Requestor Information:

Full Namerequired

(First Middle Last– as stated on your driver’s license)

Date of Birthrequired (mm/dd/yyyy)

Driver's License Numberrequired

State in which Driver's License was obtained:required

Expiration date on Driver's Licenserequired (mm/dd/yyyy)

Expiration date on Auto Insurance Policyrequired (mm/dd/yyyy)

VU Departmentrequired

VU Department Supervisorrequired

Please include the following required documents:

Driver's Licenserequired

Max file size: 10 MB

Active Auto Insurancerequired

Max file size: 10 MB

I have read the University Driver Policy and the University Driver Policy Addendum, and I agree to their terms.*

I agree

I authorize Vanguard University’s insurance company and/or broker to obtain the necessary motor vehicle records in order to assess my insurability and to forward those records to my employer. *

I agree

I understand after reading the Vanguard University Driver Policy that I must have 3 years of driving experience to be an authorized driver. *

I agree

University Driver Policy
University Driver Policy Addendum

Only the person named above may submit this form. By doing so, you are verifying the authenticity and accuracy of all information and documentation provided. Once this submission is received and reviewed, your Department Supervisor will be notified of your approved or denied driver status. Approval must be obtained before driving for university purposes. Please allow 1-2 weeks for processing.

Questions:
OfficeCFO@vanguard.edu
(714)966-5484