Driver Form

Driver Responsibility Acknowledgement Form

(Copy This form On Dealership Letterhead)

Driver Name_________________________________________

I recognize that safe driving is an essential part of my job. I will abide by the following safe driving standards:

  1. I am committed to safe, defensive driving at all times and will maintain a valid drivers license.
  2. I will use a seat-belt at all times and will advise customers that State law requires all passengers to wear them as well.
  3. I will never drive while under the influence of drugs or alcohol.
  4. I will inspect company vehicles prior to driving and will report any mechanical problems or body damage immediately.
  5. I will report any on-the-job accidents or moving violations to management immediately and will cooperate fully with the insurance claims investigation.
  6. I will report any and all moving violations or at-fault accidents that occur off-the-job immediately.
  7. I will report any medical conditions and/or doctor prescribed medications that may impact my ability to operate a vehicle.
  8. I will never allow anyone else to operate the company vehicle.
  9. Management may check my driving record at any time they deem appropriate.

My signature indicates that I am fully aware of and will abide by company safety policies related to driving.

FAILURE TO COMPLY WITH THE ABOVE DESCRIBED SAFETY POLICIES MAY RESULT IN EMPLOYEE DISCIPLINE UP TO AND INCLUDING TRANSFER TO A NON-DRIVING POSITION OR TERMINATION.

Employee Sign & Date


Manager Sign & Date


If you have questions regarding Human Resources or employment regulations contact your legal counsel or Jennifer McBennett of Seay Management Consultants at 407-426-9484 or email her.