Motor Vehicle Driver Agreement - Michigan

Driver’s Name - Last, First, MI (Print or Type) Driver’s Signature Date Department Division Driver’s Employee ID Number (State Employees Only) Driver License Number/State of Issuance (Non State Employee) DTMB-0063 (Rev. 9/23/20/15) 1 of 1 Retention of Signed Agreement: SOM Employee – Official Personnel File ................
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