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Get Authorization To Drive A Motor Vehicle Form

BUSINESS WILL BE GIVEN Agency Code 0145 Reason for Authorization: UALR business Class field trip Department Job Title Employee Name Email Date Of Birth (mm/dd/year) Social Security Number Drivers License Number State Mandatory: A legible copy of your drivers license must be attached to this form. Dept. Contact Person Email Dept. Authorized Signature Phone Number Note: Forms must be submitted to the Office of the Vice Chancellor for Finance and Administration at least 10 calendar days.

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