Colorado School of Mines
Fleet Services

Delete Approved Operator Form

Department Name:
Date:


Contact Person:
Email:


Telephone Number:


CWID #
FIRST NAME
MIDDLE
LAST NAME
Effective
NAME
Date

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Authorized Signature

Email or Campus Mail to:
CSM Facilities Management - Fleet Services
tgarza@mines.edu
Fax: 303-384-2036
Attachment C
CSMFleetProg
Updated 8/3/17