Ithaca College
Office of Risk Management
Motor Vehicle Record Form

***Traveling with Individuals other than Ithaca College Personnel - As a general principle, only Ithaca College faculty, staff and students should occupy College-owned or rented vehicles. However, there may be special circumstances when a spouse, member of another college or university community, or other individuals will join the College representative to a common business-purpose destination. These situations should be the exception, not the norm, and when they do occur, the Office of Risk Management should be informed of them in advance. Only Ithaca College faculty, staff and students who have been approved to drive College vehicles are authorized to operate College-owned or rented vehicles.***

Please complete all sections to avoid delay in processing. A minimum of 14 business days required to process form.

• Microsoft Word format - please type all information, print the form, and sign at the bottom. Forward the form to the Office of Risk Management, Job Hall 3.

• .pdf format* - please print the form, complete legibly, and forward it to the Office of Risk Management, Job Hall 3.
  
  

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  * If you don't already have the free Adobe Acrobat Reader installed, you can easily download the most current version from Adobe's website.
  

Last Updated 10/30/07