Corporate Policy Authorized Driver Addendum Form
Company Information
Company Name
Department
Policy Number
Authorized Driver Information
Driver Name
Employee ID
Job Title
Contact Number
Email Address
Driver’s License Number
License State/Province
Expiration Date
Vehicle Information (if applicable)
Vehicle Make
Vehicle Model
Year
License Plate Number
Purpose of Authorization
Authorization Effective Date
Authorization Expiry Date
Agreement
I acknowledge that I have read and understand the company’s corporate vehicle and driver policy and agree to abide by its terms and conditions.
Authorized Driver Signature
Date
Supervisor/Manager Signature
Date