Department Truck UserŐs Agreement

(To be completed by all drivers of department vehicle)

 

 

Name ___________________________________________ Phone __________________________

 

Address ___________________________________________________________________________

 

UCB ID # _________________ Driver's Lic.# ____________________ State _______ Exp. ______

 

Description of Primary Need                                                                                                               

 

____________________________________________________________________________________

 

Review the following and sign below.

 

I agree to use the department vehicle for only educational/research purposes and will use it only after obtaining permission from the department.

 

I agree that I am responsible for the borrowed vehicle(s) and the safety of the passengers on board.

 

I will obey all laws governing the use of the vehicle(s).  I understand that wearing safety belts is required by law and that all passengers must comply.

 

I will report all vehicle accidents or malfunctions to the Department immediately.

 

I will read and follow all of the rules posted in the vehicle.

 

I understand that no smoking, use of alcohol or other drugs is allowed in the vehicle.

 

I understand that the vehicle has seating for a maximum of 6 people including the driver and I will not exceed that limit.

 

I will give prior notification to the Department before towing anything with its vehicle or before loading the roof rack. Roof rack max load is 300 pounds.

 

I understand that the Department of Geography is not responsible for the payment of parking tickets or moving citations incurred during my use of the vehicle.  Any fines made against the vehicle will be paid promptly by the vehicle borrower.

 

I will notify the department of any change to my driving privileges (loss/suspension of license, etc.).

 

I understand that animals are not allowed in the vehicle.

 

I will return the vehicle clean and trash free, assembled and with a full tank of gas.

 

I understand that misuse of the vehicle or violation of laws could result in the loss of my borrowing privileges or in disciplinary action. 

 

 

 

Signature ____________________________________________________  Date _______________

 

Revised 11 Nov 03