SALEM ACADEMY & COLLEGE VEHICLE USE POLICY EFFECTIVE AUGUST

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Salem Academy & College

Vehicle Use Policy

Effective: August 20, 2010

This policy applies to:

Vehicles owned, leased, or rented to Salem Academy & College.
Personally owned vehicles driven by employees on behalf of Salem Academy & College on official business. Official business is the transportation of an employee with or without passengers on behalf of Salem Academy & College for any purpose where the employee would be entitled to reimbursement under Salem’s expense reimbursement policies.

The following policy has been established to encourage safe operation of vehicles, and to clarify insurance issues relating to drivers and Salem Academy & College.

All Drivers must have a valid driver’s license
Motor Vehicle Records will be checked at least annually. Driving privileges may be suspended or terminated if your record indicates an unacceptable number of accidents or violations. Should your record fall into our insurance carrier’s guidelines of an “unacceptable driver,” your employment may be terminated. Please see attached guidelines which will be used for evaluating an employee’s Motor Vehicle Record (MVR).
Your supervisor must be notified of any change in your license status or driving record.

When operating your own vehicle for Salem Academy & College business:

Your Personal Auto Liability Insurance is the primary payer. Salem Academy & College’s insurance is in excess of your coverage.
You should carry at least the minimum liability insurance required by North Carolina law.
Salem Academy & College is not responsible for any physical damage to your vehicle. You must carry your own collision and comprehensive coverage.
Expenses related to the operation of your personal vehicle for Salem Academy & College business will be reimbursed according to Salem’s expense reimbursement policies.

In the event of an accident:

Take necessary steps to protect the lives of yourself and others.
Comply with police instructions.
Do not assume or admit fault. Others will determine liability and negligence after thorough investigation.
Report the accident to Salem Academy & College as soon as possible.

By signing the Consumer Report Release Form you are agreeing that you have read, understood, and will comply with the Vehicle Use Policy.

Driver Acceptability Matrix

SALEM ACADEMY & COLLEGE VEHICLE USE POLICY EFFECTIVE AUGUST

Number of Moving

Number of DUI or

Violations Within

DWI Within Past

Past Five Years

Number of Accidents Within Past Five Years

Five Years

1 or More

Clear

Acceptable

Borderline

Prohibited

Acceptable

Borderline

Prohibited

Acceptable

Borderline

Prohibited

Borderline

Prohibited

Borderline

Motor Vehicle Report will be checked every 6 months; insurability subject to no deterioration in the record.

Prohibited

Employer must prohibit driver from driving company vehicles or using personal vehicle on company business.

This is for general reference only. Please refer to your auto policy contract or consult a licensed commercial Property and Casualty

insurance broker or loss control representative at Senn Dunn for assistance.

SALEM ACADEMY AND COLLEGE

Consumer Reports Release Form

Motor Vehicle Record Request

In connection with my employment and Salem Academy & College’s Vehicle Use Policy, I hereby understand that consumer reports or investigative consumer reports which may contain public record information, may be utilized to verify my driving record. Further I understand and authorize you to request my driving record information from State and various agencies regarding my past driving activities. I hereby authorize without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I further authorize ongoing procurement of the above-mentioned reports at any time during my employment (or contract).

(Please clearly PRINT the following information)

Current Name:____________________________________________________

First Middle Last

Birth Name (if different):____________________________________________

Street Address:____________________________________________________

City:___________St:______Zip:________Years At Above Residence:_________

Previous Address:__________________________________________________

City:___________St:______Zip:________Years At Above Residence:_________

Drivers License State:_______ License Number:__________________________

Social Security Number:_____________________________________________

For Identification Purposes:

Date Of Birth:_______________Race:____________Gender: ______________

Other Or Former Names: ____________________________________________

Professional License:___________ State:____________ Number: ___________

Signature(*) ______________________________________Date_______________

(*) By signing the Consumer Report Release Form I am stating I have read, understood and will comply the Vehicle Use policy.

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