Driver Assignment /Re-Assignment Form
Employee Info:
Name: ______________________________________LUID: ___________
Department: _____________________ Org Code_________
Supervisor Name:___________________
Reason:
Unassigned From: (Current Vehicle Assignment)
Vehicle Number:_______Dept. Keys:______ Trans. Keys:_______
Year:________ Make:___________________ Model:_______________
VIN#:_____________________________________________________
Tag:_____________________ Mileage:_________________
Assigned To: (New Vehicle Assignment)
Vehicle Number:_______Dept. Keys:______ Trans. Keys:_______
Year:________ Make:___________________ Model:_______________
VIN#:_____________________________________________________
Tag:_____________________ Mileage:_________________
Supervisor Signature:_____________________________ Date: ______________
Transportation Manager:__________________________ Date: ______________
Vice President/ Dean: _____________________________ Date:______________
Office Use Only:
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