Motor Vehicle Use Agreement

Motor Vehicle Use Agreement

The safety of University students, faculty, staff, and the public is a central concern of Miami University. The operations of Miami University necessarily involve some faculty, staff, students, and volunteers operating vehicles and other motorized equipment.

The information you are being asked to provide will be used by Miami University personnel to determine your eligibility to drive university owned or leased vehicles. You are not required to provide this information but if you choose not to do so, you will not be approved to drive vehicles on university business.

This completed form will be submitted to Risk Management.  

HireRight will send you a request for information via email in order to obtain a Motor Vehicle Record Report from the Department of Motor Vehicles for each state where you have held a driver’s license in the past three years.  

You will need to complete the HireRight request at your earliest convenience.  Be advised that vehicles may not be driven until you are notified by Risk Management that you have been placed on the approved driver list.

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Type of Submission *
Type of Vehicle Being Driven *
Required
Driver's Name (Last) *
Driver's Name (First) *
Please use the legal name as it appears on your license
Email
Please use the email address you check most frequently as the HireRight notice will be sent to this address
Department/Division *
Name of Supervisor or Department Contact *
Driver's Status *
In the last 3 years, please select the number of states in which you have held a driver's license *
Years of U.S. Driving Experience *
Driver's License Expiration Date *
MM
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DD
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YYYY
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