PERMISSION FOR NON UNIVERSITY PERSON(S) TO DRIVE
A UNIVERSITY VEHICLE
When completed this form is to be lodged with the Vehicles Office for all Pool and Sub Pool Vehicles
or with the Financial Delegate for Faculty or Divisional Vehicles.
In line with the current insurance conditions, the following non-University Person(s) will be driving a
University vehicle.
NAME
STATUS
Eg. Authorised Visitors
SIGNATURE
Note: Non-university drivers are only covered under CTP if they are not at fault. If the non-university driver is at
fault, there is no cover for injury to them under the CTP and no cover under any other JCU insurances. JCU's
Vehicle Policy will cover the vehicle and any third party property damage.
The details of travel are as follows:
Requester’s name ______________________________________________________
Department ______________________________________________________
Phone number ______________________________________________________
Vehicle Registration No. ______________________________________________________
Destination ______________________________________________________
Departure (date & time) ______________________________________________________
Return (date & time) ______________________________________________________
Signature of requester ______________________________________________________
Signature of Supervisor ______________________________________________________
OFFICE USE ONLY
_______________________________________________________
Pool vehicles: Director Estate Office or delegate
Organisation Units: Head of Department or Supervisor _________________________________ Date: _________________
To be filed with the completed vehicle log sheet as proof of authorisation.
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