Department of Evolutionary Biology and Environmental Studies

Department of Evolutionary Biology and Environmental Studies
University of Zurich

Winterthurerstrasse190

8057 Zurich

Phone [phone]

www.ieu.uzh.ch

	Prof. Dr. Kentaro Shimizu Phone [phone] [e-mail]

Authorisation for use of Department Vehicle

I, ________________________________________________________________

Head of ___________________________________________________________
hereby authorise ____________________________________________________
to use a department’s vehicle for the purpose of:

☐	Field work
☐	Lecturing
☐	Group retreats
☐	Transporting equipment
☐	Transporting people (max. persons according to vehicle authorisation paper)
☐	mobility

Start date: __________________________________________________

End date: __________________________________________________

or end of

employment/rec. Master _______________________________________
Single assignment: _______________________________________

Date: __________________________________________________

Signature: __________________________________________________

p.p. Secretary _____________________________________________________