As a driver of a vehicle, I understand that I must have:

1. A valid California driver’s license. Drivers with moving infractions within one year’s time of the court declaration date could be denied authorization to transport students. 

1.1. - UUSD only accepts a DMV printout (H4) for verification of driving record.

2. Required liability insurance on my car (specified in School Board Policy below):

2.1. - Each parent utilizing a private vehicle must show evidence of insurance carrying liability of a minimum of $100,000/$300,000 split limit or combined limit of $300,000. Evidence of insurance requires a photocopy of the coverage. (AR 402.6.3.b)

2.2. - Each parent utilizing a private vehicle must be informed that in the event of an accident, the parent’s insurance would be responsible for liability up to the limit of $100,000/$300,000 split limit or combined limit of $300,000. This District’s insurance will be liable for any amount in excess of the $100,000/$300,000 carried by the parent (not to exceed $1,000,000 limit of the District’s liability coverage). (AR 402.6.3.c)

2.3. - Permission and medical treatment forms must be carried in private vehicles for student passengers.

3. A vehicle in safe operating condition:

3.1. - Brakes are good; windshield wipers, head lights, tail lights, brake lights work; tires have adequate tread; operational seat belts are available and are worn by all passengers. (BP 608)

3.2. - Five passengers plus driver – transportation limit for 6 passenger sedan. Eight passengers plus driver – station wagon/SUV transportation limit. Beyond the above capacity requires a special driver’s  license (vans for 10-15 persons).

3.3. - Current Driver’s License Number:_____________________________________________

3.4. - Driver’s Vehicle License Number: _____________________________________________

3.5. - Vehicle Model and Year: ____________________________________________________

 

I understand that it is my responsibility to provide a copy of my DMV printout, a copy of insurance as specified in 2.1 above and this form completed and signed prior to the event.

I also understand that drivers shall not use tobacco products per Board Policy AR 402.6.3.d while transporting students.

I hereby acknowledge that as a driver providing my own vehicle, I have read and understand the information provided herein. My signature below hereby affirms that I fully accept and agree to the terms and obligations as stipulated.

PRINT NAME: _______________________________________________________________________________