Aspen View Regional Division No.19

EEAE-E- 1

Application

I, ________________________________, hereby apply for authority to operate a private vehicle for the transportation of students in the school year, ________, and assure the following:

1. I hold a valid Alberta driver’s license with the proper operating authority. (proof attached)

2. My insurance coverage is not less than $1,000,000 in Public Liability and Property Damage. (proof attached)

3. The vehicle I operate is in safe operating condition.

4. In the event of any change to the above, I will notify the Principal immediately.

5. If I receive any compensation for trips, I will obtain a special endorsement to my insurance policy. (proof attached)

Signature: _____________________________

Date: __________________________

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SCHOOL DIVISION USE ONLY

Approved by: ____________________________________

Principal’s signature

Date: __________________________

Comments: ___________________________________________________________

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