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Driver Waiver

This form submission constitutes authority by A.D. Transport Express (hereinafter referred as “A.D.”) for the rider listed below to be transported as a passenger only. It does not in any form whatsoever constitute or imply employment or an employee of or at A.D.. Rider is not authorized and is specifically prohibited from operating the unit or associated trailer (collectively “Equipment”) or performing any labor or duties associated with the Equipment or load at any time for any reason. Rider is prohibited from entering any loading or unloading or vehicle maintenance area. (This Waiver is only valid for one year from date of issue. A new waiver must be completed by the Rider and Driver.) RIDER IS REQUIRED TO WEAR A SEAT BELT WHEN IN THE PASSENGER SEAT OR THE BUNK RESTRAINT WHEN IN THE BUNK.
Enter Full Legal Name
By submitting my name and in consideration for A.D.’s authorization to allow a Rider or any passenger in the Equipment, Driver, by signing below, hereby releases A.D. from any and all claims, liability, rights, actions, suits and demands, including any rights under a claim of loss of companionship, affection or consortium, where in law or in equity, that Driver may have now or later, known or unknown, against A.D., including its insurers, affiliates, employees, agents, officers, directors or successors, during the authorized trip. Moreover, this signed Release may be pleaded by A.D. as a counterclaim to or as a defense in bar or abatement of any action of any kind whatsoever brought, instituted, or taken by or on behalf of Driver. Driver also agrees where allowed by law any loss and this Release shall be governed by Michigan Law. I have agreed to conditions of any A.D. policies governing Riders.
Please provide your truck number.
Enter Name of the Rider
Rider's name must match the name submitted by the Rider. Rider must submit a copy of legal form of identification with their waiver.

Driver Waiver