DRIVER APPLICATION

Driving Record: If you have had an accident or moving violation citation in the last 3 years, you must submit a copy of your Motor Vehicle Record (available at any MVD office) with this application. If you have a DUI or school zone violation, you are ineligible to drive an NMvanpools van for at least 5 years after the conviction. If any charges are pending, you may not operate a van until they are adjudicated.

 

Primary Co-Driver/Backup
 
 
 
 
 
 
 
 
 
 
 
  
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* - fields are Mandatory


Statement of Responsibility

As a NMvanpools Driver, I recognize that I must: have a valid driver’s license; be medically fit at all times to operate a NMvanpools vehicle; comply with all requirements set forth by the Public Regulatory Commission for drivers of non-profit commuter vanpools; comply with NMvanpools ByLaws and Policies and Procedures and maintenance requirements; and, comply with state, local, and federal driving laws. By my signature below, I affirm that I have no medical condition which could impair my ability to safely drive a NMvanpools van and that I am not taking medication (prescription or nonprescription) which could impair my driving ability. I agree to report any accident, bodily injury, or property damage involving the vanpool vehicle promptly to the NMvanpools office and obtain copies of any and all reports regarding any damage to the NMvanpools vehicle or bodily injury to a member of NMvanpools. Further, by my signature below, I authorize NMvanpools to have my driving record checked at any time during the period I am a NMvanpools driver. I agree to immediately notify the NMvanpools office if given any moving violation citation of any kind whether received in a NMvanpools van or in my personal vehicle. I know that I am not authorized to drive any NMvanpools van until my Van Coordinator has been notified in writing of my approval and inclusion on NMvanpools insurance policy.

I Agree.  

(505) 414-3473 (phone) | (505) 771-2812 (fax) | info@nmvanpools.org