SOP_NUMBER: 215.14-att-2
TITLE: Authorization for Use of Company Vehicle by Resident
REFERENCE_CODE: IID04-0012
DIVISION: Facilities
TOPIC_AREA: 215 Policy-Transitional Center
EFFECTIVE_DATE: 2022-01-06
WORD_COUNT: 131
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/565965
URL: https://gps.press/sop-data/215.14-att-2/

SUMMARY:
This form documents requests for transitional center residents to operate company vehicles during employment, including trips to and from the workplace during scheduled working hours. The form requires justification for the request, detailed vehicle information, insurance coverage details, and approval from the facility superintendent. Completed forms are maintained in the resident's case file according to standard retention schedules.

KEY_TOPICS: vehicle use authorization, company vehicle, resident employment, transitional center, work release, vehicle operation, superintendent approval, resident case file, employment duties

ATTACHMENTS:
  1. Waiver of Liability
     URL: https://gps.press/sop-data/215.14-att-1/
  2. Authorization for Use of Company Vehicle by Resident
     URL: https://gps.press/sop-data/215.14-att-2/

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FULL TEXT:
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SOP 215.14
Attachment 2

01/06/22

# Authorization for Use of Company Vehicle by Resident


This is a request for ________________________________ to use a company vehicle during
Resident’s Full Name

the course of employment with ____________________________.  This vehicle may also
Full Name of Company

be driven to and from the place of employment, during regularly scheduled working hours, in

the performance of his/her employment duties, while residing at _______________________.

Center Name

**Justification For Request:**
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

**Type of Vehicle to be Operated:**

__________________________________________________________________________
**Make                          Model                     VIN #**
__________________________________________________________________________
**Description**
__________________________________________________________________________
**Frequency of Use**
__________________________________________________________________________
**Type and Amount of Insurance Coverage**

**Name of Company Employee making Requesting:** _______________________________


_____________________________________                  ____________________
Signature of Company Employee                                  Date


_____________________________________                  ____________________
Approval/Disapproval of Superintendent                            Date
(circle one)


Retention Schedule: Upon completion, this form shall be placed in the Resident’s case file and maintained according
to the official retention schedule for that file.