ࡱ> lnkg dbjbj x jx jd AAAAAUUUUq$UE ZA~"AAAAgA(0E $ r AhlE Y :   Date Last reviewedNov 21, 2024Date Last revisedNov 21, 2023 Please review the information below. If you have any questions, please contact Risk Management & Insurance at riskmgmt@ucalgary.ca. REIMBURSEMENT FOR COSTS RELATED TO OBTAINING A DRIVERS ABSTRACT TO DRIVE A UNIVERSITY OWNED OR RENTED VEHICLE ON UNIVERSITY BUSINESS GRADUATE STUDENT, UNDERGRADUATE STUDENT, INTERNS, EXTERNS, CO-OP STUDENTS OR VOLUNTEERS (Employees Abstracts can be obtained directly by the University) This form must be typed in full, and a scanned copy submitted to drivers@ucalgary.ca, along with a copy of the original receipt from the Alberta Registries Office related to obtaining your Drivers Abstract copy for the University. NOTE: Driver's licenses that are NOT eligible for driving on behalf of the ݮƵ include learners, probationary, graduated Class 5, Class 6 orClass 7. Last Name: ________________________________________________ First Name: ________________________________________________ Email Address: ________________________________________________ Address: ________________________________________________ City: ________________________________________________ Province: ________________________________________________ Postal Code: ________________________________________________ Country: ________________________________________________ Telephone: ________________________________________________ Status: Graduate Student, Undergraduate Student or Volunteer: _________________ Department: ___________________________________________________________ Drivers License #: ___________________________________________________ I certify that these expenses were incurred in order to obtain a Drivers Abstract, required for me to drive ݮƵ owned or rented vehicles. _________________________________________________________ _________________________ Signature of Student or Volunteer Date This information is gathered under the authority of the Freedom of Information and Privacy Act. It is required to provide a reimbursement to the student or volunteer for costs incurred during obtaining a Drivers Abstract to drive on behalf of the ݮƵ for University purposes. If you have any questions about the collection or use of this information, contact the Director, Risk Management and Insurance at 403-220-4623. 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