M Pizza, Inc. Vehicle and Auto Insurance Permission Letter

Dear M Pizza, Inc.

I hereby give my child/ward listed below unlimited permission to operate the vehicle below for the purpose of delivering products for Domino's. I am providing details on the vehicle and my auto insurance policy for said vehicle, which may be used in all capacities as M Pizza, Inc. sees relevant to this agreement. Furthermore, I confirm that my child/ward is legally covered to operate this vehicle under my insurance policy.

Employee's First Name *

Employee's Last Name *

Relationship of Employee to Owner *

Owner/Insured First Name *

Owner/Insured Last Name *

Owner's phone # *

Vehicle Year *

Vehicle Make *

Vehicle Model *

Insurance Company *

Insurance Policy # *

Date *

Signature of parent/guardian *

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