Title Page

  • LAST 5 OF VEHICLE VIN #

  • Distributed on

  • Prepared by

  • Branch

Untitled Page

  • I, , have received my new (select from below)

  • I acknowledge that these items are assigned to my vehicle, and should not be kept on my person, but kept in my vehicle in the proper envelope provided in my glove box with all my proper vehicle information. If I remove & lose these documents, I may be subject to a written disciplinary warning.

  • EMPLOYEE SIGNATURE DATE:

  • MANAGER SIGNATURE DATE:

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