Driver Authorization Request Form

Driver Authorization Request Form

LSU Driver Authorization Form

Please complete the form below to begin the LSU Driver Authorization process. Upon submission of this form, and when anything changes with your record in the future, you, your supervisor and department contact will be notified via email. These email notifications include but are not limited to: Approval Status Changes, Renewal Form Requests, Questions or Updates Needed in Your Record and Upcoming Date Changes (such as license expiration or driver training). Please allow 10-14 business days to process new requests. If a request needs to be expedited, please email vehicles@lsu.edu and we will do our best to accommodate that request.

Employee Information:

Driver Name*

I, (employee name above), hereby certify that I have read and agree to the terms listed above and that I will follow the university's vehicle use guidelines and accident reporting requirements.*

Select

When do you expect to begin driving LSU Vehicles?*

Length of Driving Appointment*

Select or enter value

Is there a job function listed in your job description that requires you to drive?*

Select or enter value

Please describe your work duties that require you to drive on University business.*

Employee Email (@lsu.edu)*

Employee Work Phone #*

Employee ID # (89...)*

Driver's License #*

License State*

Select

If you are licensed in a state other than Louisiana, please attach your Motor Vehicle Record if available.

If you are unable to attach a PDF version of your MVR (Motor Vehicle Record), please email a copy to vehicles@lsu.edu for processing. If you do not have your MVR, please continue on with the form submission and we will follow up with you in the near future.

Drag and drop files here or

Type of vehicle requesting to drive on university business?*

Personal vehicle usage should only be selected if using a personal vehicle is a requirement in your written job description. EX: You will drive weekly to New Orleans...

Select

Driver Training Completion Date*

Please provide the date that you completed the LSU Driver Training Questionnaire - https://lsu.qualtrics.com/jfe/form/SV_dhyOiQYjDHE1ztb

Please select the campus that you are affiliated with from the list below.

Select or enter value

Position Classification*

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LSU Department*

Cost Center

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Job Title

Have you ever submitted a driver authorization request in the past, specifically in your current position at LSU?*

If you have submitted a request in the past while in a different role within your department or if you recently changed departments, please select the "This was my first time.." option.

Select

How long have you been employed at LSU in your current position?*

If unknown, please provide the best guess from the options provided. This is for your current position, not just how long you have been at the University.

Select

Data Authorization*

I authorize that all information provided on this form, including any and all personal, financial and academic data may be shared with the LSU Risk Management and university insurance carriers and vendors. This data will be securely retained indefinitely. To learn more about privacy at LSU, please see the LSU Privacy Statement - www.lsu.edu/privacy

Supervisor Information:

Employee's Supervisor Name*

Employee's Supervisor Email (@lsu.edu)*

Department Vehicle Use Contact Information:

If your department has a specific person who oversees all vehicle usage for your department, please input their information below.

Department Vehicle Use Contact Name

Department Vehicle Use Contact Email

Comments

Please allow 10-14 business days for the review of your request. Please reach out to the Office of Risk Management by emailing vehicles@lsu.edu for any questions or comments. We appreciate your submission and all feedback.

Heading

Type of MVR Request

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Send me a copy of my responses

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