Rental Car Driver Agreement

*Your Full Legal Name (Driver)

*Your Phone

*Your Email

*Your Home Address

*Your driver's license State, Number and Expiration Date

*The driver accepts responsibility for renting the vehicle as an authorized driver. (Yes / No)

*The driver understands to accept the Damage Waiver only. (Yes / No)

*The driver understands to NOT accept additional insurances or coverages from the rental agency. (Yes / No)

*The driver understands to NOT accept the fuel option. The pre-paid fuel option is NOT authorized - fuel must be purchased by driver prior to returning the vehicle and reimbursed with the proper receipt showing time, date, gallons, price per gallon and total charge. (Yes / No)

*The driver understands the term/length of the authorized rental days and authorized charges. Additional days, GPS charges, add-ons or upgrades are NOT reimbursable. Any driver induced fees, such as but not limited to parking tickets, toll violations, smoking in the vehicle fees and un-announced out-of-state travel fees are NOT reimbursable. (Yes / No)

*The driver understands the Scope of Use of the vehicle is limited to work-related travel and necessary trips only, such as for traveling to or from work, for food, for work-related errands, etc. (Yes / No)

*The driver must obtain a printed receipt at the time the vehicle is returned to confirm proper check-in. A copy of this receipt must then be sent by email to the designated point of contact for the assignment. (Yes / No)

*Please upload a photo of your Driver's License

*Please Sign within the box below