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Passenger Liability Waiver (Form 1382/002)
Handle: Document-843
Owner: Laiche, Karen (User-23, klaich:DocuShare)DS
Tuesday, March 16, 2004 12:04:10 PM CST
Tuesday, September 21, 2004 12:46:41 PM CDT
Modified By: Laiche, Karen (User-23, klaich:DocuShare)DS
Locked By:
  • March 16, 2004 AD-1382.1A AD-1382.1A March 16, 2004 PASSENGER LIABILITY WAIVER Driver Statement: I understand that unauthorized persons should not be transported in state vehicles and have been granted an exception by an appropriate supervisor.
  • After the passenger has signed the waiver, I will forward this form to the Fleet Coordinator.
  • Vehicle: _____________________________________ Signature of Driver: _________________________________ Date: ______________ Passenger’s Waiver: I understand that the Delgado Community College and the State of Louisiana assume no liability for any loss, injury, or death resulting from transportation in the state vehicle listed below: _____________________________________ _______________________ Passenger ...
Allowed
Microsoft Office Word (.doc, .dot) - application/msword
1382-002.doc
4
30208
No
Appears In: ALL FORMS - Alphabetically Listed by Form Title DELGADO FORMS
Preferred Version: Passenger Liability Waiver (Form 1382/002)