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SLAC Motorized Vehicle Driving Privilege Form

SLAC Motorized Vehicle Driving Privilege Form

SLAC requires operators of motorized vehicles, including government cars, trucks, carts and scooters, to have a valid California driver's license or a California-recognized license issued by another state or by a foreign jurisdiction of which the operator is a resident. Any individual obtaining or renewing a SLAC badge who intends to operate a motorized vehicle on the SLAC site must follow the SLAC Traffic Control Program policy and must read and sign the statement below.

I intend to operate a motorized vehicle on the SLAC site. Accordingly, my signature below verifies that I currently possess a valid driver’s license recognized by the State of California. It also commits me to inform the SLAC Safeguards and Security Department if my driver’s license becomes invalid for any reason. I agree to produce upon request a valid license and acknowledge that I must show a valid driver’s license each time I renew my SLAC badge. As an employee, I recognize that my failure to possess, show upon request, or report the invalidation of my license will result in discipline, up to and including termination. As a visitor, I recognize that my failure to possess, show upon request, or report the invalidation of my license will result in my being prohibited from driving on the SLAC site.

___________________________________
Employee Name (Print)


___________________________________
Signature


__________________
Date

 

I do not intend to operate a motorized vehicle on the SLAC site.  I have read the above information, and recognize the requirements needed to operate a motorized vehicle.  If I ever intend to operate one in the future, I will fill out a new form and inform the SLAC Safeguards and Security Department of the change in my status.

___________________________________
Employee Name (Print)


___________________________________
Signature


__________________
Date

 

Once signed, return this form to Safeguards & Security, mail stop 86



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