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Vehicle driving authorization template (US)

A general template under US law. Laws differ from state to state, so check it against your state's law or with a lawyer licensed there. We are not a law firm and do not give legal advice.

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Preview — US standard

Vehicle Use Authorization

Company or Owner Name

Address

Date: Authorization Date

Vehicle

Year, make and model: Year, Make and Model

License plate and state: License Plate and State

VIN: Vehicle Identification Number

Registered owner: Registered Owner Name

Authorized Driver

Name: Driver Name

Driver's license number and state: License Number and State

License expiration date: License Expiration Date

Authorization

Owner Name authorizes the driver above to operate the vehicle for the following purposes: Permitted Use, such as Company Business Only, Commuting, or Personal Use Within Limits.

Valid from Start Date to End Date, unless revoked earlier in writing.

Geographic limit: Geographic Limit, or None.

Other drivers allowed: None, or Names.

Driver's Duties

The driver will:

• carry a valid driver's license and the vehicle's registration and proof of insurance;

• obey all traffic laws, wear a seat belt, and not drive under the influence of alcohol or drugs;

• not use a handheld phone while driving, where the law prohibits it, and not use the vehicle for any illegal purpose;

• report any accident, damage or citation to Contact Person within Report Hours hours;

• pay any parking or traffic fines incurred during use, unless otherwise agreed.

Insurance

The vehicle is insured by Insurance Company, policy number Policy Number. The driver understands that coverage may depend on the use being within this authorization.

Revocation

The owner may revoke this authorization at any time. On revocation or at the end date, the driver will return the vehicle and keys to Return Location.

| Owner | Driver |

| --- | --- |

| Signature: Owner Signature | Signature: Driver Signature |

| Name: Owner Printed Name | Name: Driver Printed Name |

| Date: Owner Signing Date | Date: Driver Signing Date |

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