Transport Form Logo
  • Staff Transport Form

  • By signing below and selecting the Non-Transport option i am verifying and agreeing to the following:

    • I have reliable transportation to and from work.
    • I have a valid driver's License
    • I will not transport any clients, at any time, for any reason.
    • I will call 911 if an emergency should occur and transportation is necessary.
    • I understand that if I violate this agreement.
      • I will be violating State Regulations.
      • This will be grounds for termination of my employment.
  • By signing below and selecting the Transport option i am verifying and agreeing to the following:

    • I have reliable transportation to and from work.
    • I have a valid drivers license.
    • I have current auto insurance.
    • I understand that if I lose my license or insurance for any reason I must immediately notify my supevisor. 
    • Failure to have a valid license is grounds for immediate termination of my employment.
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  • Should be Empty: