MSU Police Department
100 Laughlin Bldg.Morehead, KY 40351Phone: 606-783-2035E-mail: email@example.com
Please, if possible, process your request at least two weeks in advance.
I acknowledge that I have read a copy of the Commonwealth of Kentucky Policies and Procedures governing the use of a state vehicle and understand that the statewide and MSU-specific fleet policies and procedures.
As a condition of my accepting a vehicle, I agree to an annual check of my driving record.I agree to inform my supervisor and the MSU Motor Pool Manage whenever any negative change in the status of my driving record may occur, such a license revocation, restriction, loss of points or suspension.I understand that any negative change in the status of my driving record may result in the revocation of the privilege of driving a state-owned vehicle.ALL fields are required.
Note: This form is not submitted via secure website. If you have concerns about the privacy of your information, you may print the form and send it to 100 Laughlin Building, Morehead, KY 40351.
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