Risk Management & Insurance

Driver Authorization Form

To obtain authorization to drive a university insured vehicle, please complete the Driver Authorization Form below. The Driver Authorization form is also available in the office of Risk Management & Insurance located in Schmidt Hall, 3rd floor.

We request three (3) days to complete the process. Please do not rely on immediate approval.

After the three day waiting period, unless you are informed otherwise, you may assume that you are approved to drive a university insured vehicle. For those instances when driver approval is not granted, the authorizing supervisor named on the form will be notified by the office of Risk Management & Insurance. If you are uncertain of your approval, after the three day period you may call the office of Risk Management to check on status of your request.

If you wish to drive a van, please inquire about defensive driving training sessions specifically for use of a 12 or 15 passenger van. Anyone who will drive a van must attend a training session.

If you have questions or need further assistance, please contact the office of Risk Management & Insurance at 513 745-2090 or email Mary Beth Townsley at townsley@xavier.edu

All fields in Bold are required fields.

Driver Information
Employee Student Other








Submittal Information

I, the driver, affirm that I am aware of the insurance coverage requirements of Xavier University and will abide by said requirements and that I permit Xavier University or its insurance carrier to obtain my driver record from appropriate state organizations.

I have read and understand the Vehicle Use and Driver Responsibility Policy.