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Contractor Motor Vehicle Registration Form
| Date | |
| Company Name | |
| Employee Last Name | |
| Employee First Name | |
| Employee Middle Initial | |
| Social Security # | |
| Phone Number | |
| E-mail Address | |
| Vehicle Year | |
| Vehicle Make | |
| Vehicle Model | |
| Tag # | |
| Tag State | |
| Driver's License # | |
|
I understand that furnishing false information or non-compliance with University parking and traffic regulations may subject me to fines, revocation of the privilege of operating a vehicle on campus or other disciplinary action. | |
