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Authorization to Drive Vehicle
Vehicle Owner: ________________________________
Phone Number: ________________________________
Address: ________________________________
City, State, Zip: ________________________________
Driver's License: __________________State_________
Driver Name: ________________________________
Phone Number: ________________________________
Address: ________________________________
City, State, Zip: ________________________________
Driver's License: __________________State_________
Vehicle Make/Model: ______________________________
Color and Year: ______________________________
VIN: ______________________________
License Plate/ST: ______________________________
Insurance Policy #: ______________Company_________
I, the undersigned, hereby authorize ___________________________ to drive my motor vehicle, listed above, under the following conditions:
Date(s)/Time(s): ________________________
Location(s): ________________________
Other: ______________________
Signature _________________________ Date __________
Witness _________________________ Date __________
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