DMV Pull Notice Program

Driver Information Form

First Name

Last Name

Middle Name (Full Middle Name Required)

Department Information

Status

Student

Faculty

Student/Staff

Staff

Volunteer (Volunteer must complete a background check through Human Resources before becoming an Authorized Driver)

Please note that if you are a student who is employed on any position at the University, you must select "Student" and fill out the Graduation Term box.

Graduation Term

(Please enter the semester followed by the year Ex. Spring/20XX)

Title

If Faculty, include your title.

Department/class you will be driving for

Driver's Supervisor

Reason for Driving

If driving for Koret or a Club Sport, please mention which sport you shall be driving for.

Will you be driving a University owned vehicle?

Yes

Please fill out this Key FOB Agreement Form and send to Risk Management at usftravel@usfca.edu.