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
Adobe Portable Document Format (.pdf) - application/pdf
1382-002 Passenger Liability Waiver Form updated 5-13 editable PDF 9-22.pdf