SD FLEET & TRAVEL MANAGEMENT
Zip + four:
MSA Billing Code
IS THIS A NAME CHANGE?
IS THIS AN ADDRESS OR PHONE NUMBER (S) CHANGE?
IS THIS A MSA BILLING CODE CHANGE?
DATE OF CHANGE:
CHANGE REQUESTED BY:
HAVE YOU SIGNED THE RULES & REGULATIONS FORM IN THE SD FLEET & TRAVEL MANAGEMENT POLICY & PROCEDURE HANDBOOK?
IF YOU CHECKED NO – COMPLETE THIS SECTION:
I read and understand the FTM Policies & Procedures for use of a state-owned vehicle in the FTM POLICY PROCEDURE HANDBOOK FOR ASSIGNED DRIVERS & POOL VEHICLES. I agree to abide by these Policies Procedures AND have sent a signature sheet to FTM.