UW Vehicle Passenger Exception Request
Extended Duration Form
Please complete this form in its entirety if you wish to have a passenger who is not on official University of Wyoming
business accompany you on University business travel for a stated period of time. Pursuant to UW’s Vehicle Use Policy,
passengers are not allowed to travel in UW vehicles unless they are participating in official University business.
Exceptions may be granted by the UW Risk Manager under certain limited circumstances where the passenger is
necessary and in the best interests of the University (for example, the passenger will be providing you necessary medical
assistance or other accommodation to allow your work related travel). This form is to be used if you are requesting that
an exception be granted for an extended period of time for the same passenger (i.e., this person will be traveling with
you numerous times over the next year, semester, etc.)
Name of UW Driver____________________________________________________________
Purpose of UW Related Travel____________________________________________________
Name of Proposed Passenger______________________________________________________
Requested Duration of Exception (i.e. Fall Semester 20XX, Fiscal Year 20XX, Calendar Year 20XX, specified dates)
______________________________________________________________________________
Reason for Exception Request (provide a detailed explanation for the need to travel with a passenger including but not
limited to what role the passenger will play, why the passenger is a necessity, the consequences of the passenger not
traveling with you, etc.)
_____________________________________________________________________________________
Approved:
Denied:
_________________________________________ _________________________________
UW Vehicle Driver’s Signature and Date Risk Manager’s Signature and Date
Return form to Risk Management, 247 Knight Hall, fax (307) 766-3024, email risk@uwyo.edu
