Version 2.0,March2018
University of Guelph
Faculty & Staff Driver Profile Information
For Transportation Services
Faculty/Staff Name ____
________________________________________ Date _________________
(Please Print)
Department _____________________________________________ Extension __________________
University Employee Number ___________________________________ License Class ___________
Ontario Driver’s License Number ____________________________________ Expiry Date ____________
Supervisor’s Name & Title _____________________________________________________________
(Please Print)
Full-time Driver Yes
Temporary Driver Yes
Start Date____________________ End Date __________________
Complete this Section Only if you possess a Class “A” License
Date of Last Medical ________________________ Last Abst
ract Date _________________________
To be filled out by the Driver:
I certify the above information to be accurate. I am aware of and will conform with the University of Guelph’s
policy and the procedures on the use of University owned, leased and rented vehicles as specified in University of
Guelph policy 1.2.25 – Licensed Vehicles.
Signature _____________________________________________ Date _______________________________
Statement by Department Chair/D
I approve
the use of the University vehicle Make:__________ Model:___________________ U of G ID No.:_________
Signature _____________________________________________ Date _______________________________
Save and print this form. Obtain all required signatures and email the completed form to Treasury
Operations at and Transportation Services at
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome