Approval Request to Drive Rented Vehicles/UTV's
All information requested on this form will be used to run the employees MVR report. Approval to drive is dependent on a clear MVR report and approval from our Safety Director/Fleet Manager. Auto Insurance is required to operate a berg owned or rented vehicle/utv. If the employee does not auto insurance or an unexpired drivers license, please do not fill out this form.
Name of Person filling out this form
*
First Name
Last Name
Truck or UTV
*
Please Select
Truck
UTV
Both
Employee Type
*
Please Select
Berg Employee
Contract Employee
Name of employee you would like approval to drive
*
First Name
Last Name
Employees email address
*
example@example.com
Employees Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Employees Date of Birth
*
-
Month
-
Day
Year
Date
Employees Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Job Location (city/state)
*
Will this employee be pulling a trailer?
*
Please Select
Yes
No
Picture of Drivers License
*
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Choose a file
Cancel
of
Picture of Insurance Card
*
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of
Submit
Should be Empty: