Driver Safety Form

Form Name:	Driver Safety Form
Completed By:	House Officer
Used When:	Filled out yearly and attached to Appointment Packet
Purpose:	Required by Safety office to comply with Louisiana state employee driver requirements.
Direct Questions To:	Safety Office
Form Link:	GME Online Appointment Forms

Instructions for Completing Form

Prepopulated form is downloaded as part of House Officer's Appointment Packet from GME Online Appointment Forms. Missing information should be completed by House Officer, a copy of the drivers license should be attached, and the form should be submitted to the GME Office with the rest of the Appointment Packet.

Other Info

See GME Online Appointment Forms for additional information about downloading form.

Places This Form is Referenced

Page:

Driver Safety Form (Forms & Documents)
Page:
Appointment Packet (Forms & Documents)
— The packet consists of the following forms:
- Agreement of Appointment (GME A)
- TB Form (GME-B)
- Driver Safety Form (GME-C)
- House Officer Moonlighting Form (GME-D)
- Health Requirements Form (GME-E)

Driver Safety Form

Instructions for Completing Form

Other Info

Places This Form is Referenced

Related content

LSU GME Knowledge Base