Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Enter the date in the designated field at the top of the form.
3. Provide the Passenger's Social Security Number in the appropriate field.
4. In the first blank, write the name of the passenger, followed by their age in the next blank.
5. Specify the Unit number where the passenger will be traveling.
6. Fill in the name of the driver who will be operating the vehicle.
7. Indicate the departure location in the designated field.
8. Enter the destination for the trip.
9. Complete the period of authorization by entering the start and end dates.
10. Check the box confirming that routes are authorized by Jones Motor Group, Inc.
11. In the blank provided, write the passenger's name again to confirm that they will not operate the vehicle.
12. Provide the dollar amount for the premium that will be deducted from the next settlement based on the Business Traveler Accident Policy.
13. The passenger should print their name and sign in the designated space.
14. The Owner Operator or Driver should also print their name and sign where indicated.
15. If applicable, the passenger or guardian must sign to indicate consent if the passenger is under 18.
16. Ensure the form is properly authorized by obtaining a signature from the General Office representative.
17. Once completed, fax the form to the General Office at 888-304-0233.
18. Remember, the form must be authorized before the passenger enters the truck!

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