Driver Authorization Form

To obtain authorization to drive an Authorized University Driver, please complete the Driver Authorization Form below. All fields are required.

We request three (3) business days to complete the process. Please do not rely on immediate approval.

After the three day waiting period, unless you are informed otherwise, you may assume that you are approved to drive a university insured vehicle. For those instances when driver approval is not granted, the authorizing supervisor named on the form will be notified.

Email *
Department *
Name of Driver (as shown on license) *
Driver's Date of Birth
MM
/
DD
/
YYYY
Role at the University *
Driver's License State
 *
Driver's License Number *
Use letters and numbers only.
Driver's License Expiration Date *
MM
/
DD
/
YYYY
Name of Supervisor *
I, the driver, affirm that I am aware of the insurance Coverage Requirements Policy of the University of Indianapolis and will abide by said requirements and that I permit the University of Indianapolis or its insurance carrier to obtain my driver record from appropriate state organizations.
 *
Required
I have read and understand the Vehicle Use Policy.
 *
Required
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