Employee Driver Approval Process

EMPLOYEE DRIVER APPROVAL PROCESS

Personal Information

Phone:    Email:

Position Information

Reporting Manager:    Employee Start Date:

Driver License and Record

State of License: License Number: Class/Endorsements: Expiration Date:

Are there any license restrictions or medical limitations? Yes No
If yes, explain:

Vehicle & Insurance Information

Using Company Vehicle? Yes No

Minimum liability coverage meets company requirement (e.g., liability limits): Yes No

Driving History (Specify)

DUI / DWI / Alcohol-related convictions in last 10 years: Yes No

Employment History

Title: Dates Employed:

Title: Dates Employed:

Education

Graduation Date:

References (Professional)

Phone: Email:

Phone: Email:

Phone: Email:

Legal Disclosures & Authorizations

At-Will Employment: The provision of driving privileges is a condition of employment and does not alter the at-will relationship between the employee and the company. The company may revoke driving privileges at any time for safety or compliance reasons.

Equal Opportunity: The company provides equal opportunity in all employment practices. Decisions regarding driver approval are applied consistently and in compliance with applicable nondiscrimination laws.

Authorization to Obtain Records

I authorize the company and its designated agents to obtain motor vehicle records, driving history reports, and criminal background checks as required for determination of fitness to drive on company business. I understand that such reports may be obtained initially and periodically as a condition of continued driving privileges.

I release any person, agency, or former employer from liability for furnishing such information and certify that all statements I have made in this form are true and complete to the best of my knowledge. I understand that falsification or omission of material information may result in disciplinary action up to and including termination.

Signature below constitutes written consent for the company to access and review my driving record and other relevant background information for the purpose of determining driver eligibility.

Training & Safety Requirements

Required training prior to approval includes completion of the company's defensive driving program, vehicle-specific familiarization, and any required safety briefings. Evidence of completion must be retained in the employee file.

Defensive Driving Completed: Yes No    Date Completed:

Approval Checklist (To be completed by Reviewer)

Motor Vehicle Record reviewed: Yes No

Insurance verified: Yes No

Training verified: Yes No

Restrictions apply (e.g., no overnight driving, vehicle type limitation): Yes No
If yes, specify restrictions:

Decision: Approved Denied

Applicant Certification & Authorization

I certify that all information provided on this Employee Driver Approval Process form is true, complete and correct. I understand that company policy requires truthful disclosure of driving history and that omissions or misrepresentations may subject me to disciplinary action, up to and including termination of employment.

I authorize the company to contact prior employers and other references for the purpose of validating information provided and assessing my suitability to operate company vehicles or to use my personal vehicle for company business.

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