Employee Transportation Release

Employee Transportation Release

This Employee Transportation Release (the "Release") documents the understanding and agreement between Employer Name: and Employee Name: concerning employer-provided or employer-arranged transportation services. This Release is effective as of .

Employee Information

Position Information

Transportation Details

Transportation provided or arranged by Employer (select all that apply):

Will the employee operate a vehicle in connection with employment? Yes No

Release, Assumption of Risk, and Indemnity

In consideration of permission to use employer-provided or employer-arranged transportation, the undersigned employee, on behalf of the employee and the employee's heirs, assigns and representatives, hereby forever releases, remises, and discharges Employer and its officers, directors, employees, agents, affiliates and insurers (collectively, "Released Parties") from any and all claims, demands, causes of action, liabilities, losses, costs, and expenses (including attorneys' fees) arising out of or relating to the provision, use, operation, maintenance, condition or control of any vehicle, shuttle, ride-share or other means of transport provided or arranged by Employer, including claims for personal injury, property damage, or wrongful death, whether arising from negligence, strict liability, breach of contract or otherwise, to the fullest extent permitted by law.

The employee acknowledges and agrees that participation in employer-provided transportation involves inherent risks, including but not limited to collision, mechanical failure, driver error, and roadway hazards. The employee voluntarily assumes full responsibility for all such risks and agrees to defend, indemnify and hold harmless the Released Parties from any claim, loss or damage arising from the employee's negligent or willful acts or omissions while operating or occupying a vehicle provided or arranged by Employer.

This Release shall be binding upon the employee's heirs, executors, administrators, successors and assigns, and shall be governed by the laws of the State in which the principal place of employment is located. If any provision of this Release is held unenforceable, the remaining provisions shall continue in full force and effect.

Safety Procedures and Employee Obligations

The employee acknowledges the following safety obligations and agrees to comply at all times while participating in employer-provided transportation:

Authorization for Background / Driving Record Checks and Emergency Treatment

I consent to Employer obtaining my driving record and conducting background checks to the extent permitted by law and as a condition of operating a vehicle in connection with employment. I authorize the release of driving history, motor vehicle records and related information to Employer or its designated agent.

In the event of an accident or medical emergency, I authorize Employer or its authorized representative to obtain necessary medical treatment for me and to make decisions regarding emergency medical care if I am incapacitated. I agree to be responsible for any costs of emergency medical treatment not covered by Employer's insurance.

Medical and Emergency Information

Employment History

Please provide your two most recent employers.

Education

References

Provide three professional references.

Legal Disclosures and Certification

At-Will Employment: The employee understands and acknowledges that employment is at-will, meaning either the employee or Employer may terminate the employment relationship at any time, with or without cause or prior notice, unless otherwise provided by a written agreement signed by an authorized representative of Employer.

Equal Opportunity: Employer is an equal opportunity employer. Employment decisions are made without unlawful discrimination on the basis of race, color, religion, sex, national origin, age, disability, genetic information, veteran status or any other protected characteristic under applicable law.

Applicant Certification: I certify that all information provided on this form is true, accurate and complete to the best of my knowledge. I understand that any false, misleading, or omitted information may result in disciplinary action, up to and including termination of employment.

Authorization to Contact Previous Employers and Conduct Background Checks: I authorize Employer to contact prior employers, references and other persons or entities identified in this form to verify information and to obtain information relevant to my ability to perform the duties of the position and to operate a vehicle if applicable. I consent to criminal background checks, driving record checks, and other screening as required by Employer policies and applicable law.

Additional Terms

The employee agrees that Employer may, in its discretion, terminate transportation privileges for violation of safety rules, for unsatisfactory driving record results, for failure to possess or maintain a valid driver's license and required insurance where applicable, or for other conduct deemed unsafe. The employee further agrees to promptly notify Employer of any change in license status, convictions for driving-related offenses, suspensions or revocations.

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