FLEET SERVICES Important : Please Print Legibly

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FLEET SERVICES
EMPLOYEE MOTOR VEHICLE OPERATOR LICENSE VALIDATIONS
(2-10-14)
Important : Please Print Legibly
Return To:
Fleet Services - Rentals
Fax: (330) 672 - 9718
Phone: (330) 672 - 1970
I hear by authorize the following employees within the department of
to operate motor vehicles owned, leased or rented by Kent State University and submit their names for license checks.
In State License Check is $9.50
FACULTY/STAFF/STUDENT
EMPLOYEE NAME
(First, M.I., Last)
Out of State License Check is $19.00
Phone
Number
Date
of
Birth
Approved:
Driver's
License
Number
Driver's
License
State
Faculty
Staff
Student
Department
Approved:
PRINT: Approved Department Head/Dean/VP
SIGN: Approved Department Head/Dean/VP
Date:
Charge Index Name:
Index Number:
FOR IMPORTANT INFORMATION REGARDING 12/15 PASSENGER VAN RENTALS GO TO:
https://www.kent.edu/ufm/fleet/equipment-vehicle-rentals.cfm
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