DriveApp

Driver Application for RENTAL Vehicles
First Presbyterian Church of
Westminster

* Indicates required field

Name of Driver Applicant *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth *

Driver's License # *

STATE issued *

Insurance Company's Name *

Policy # *

Liability Limits *

To provide for the safety of those we transport,
we must ask each volunteer to answer the following questions:

I do not have more than 2 current points on my driving record. *

True False

I am at least 25 years of age. *

True False

There is nothing in my health history which will impair my driving safely. *

True False

As of the date of my signature on this form, my vehicle insurance is current and valid *

True False

Please be aware that as a volunteer driver, your insurance is primary even
if there is supplemental coverage through the rental company.

Thank you for helping with our transportation needs.

Certification

I certify that the information given on this form is true and correct to the best of my knowledge. I understand driving for the First Presbyterian Church is a profound responsibility and I will exercise extreme care and due diligence while driving. I understand that as a volunteer driver, I must be 25 years of age or older, possess a valid driver's license, have the proper and current license and vehicle registration, and have the required insurance coverage in effect on the vehicle I drive. I agree that I will refrain from using a cell phone or any other electronic device while operating my vehicle.

Volunteer Driver Signature *

Date *

Submit

(Fill out this online form
or download the file below, print,
and return to the youth leader.)

Volunteer Driver for Rental Vehicles.pdf
File Size:	155 kb
File Type:	pdf

Download File

Driver Application for RENTAL VehiclesFirst Presbyterian Church of​Westminster

Driver Application for RENTAL Vehicles
First Presbyterian Church of
Westminster