The document is an Ignition Interlock Employment Exemption Affidavit from the Utah Driver License Division. It contains information about the driver, including their name, address, driver license number, and phone number. The document also includes employer information, such as company name, date, address, supervisor name and contact details, vehicle make and model, VIN number, and whether the applicant owns the company or is covered under its insurance. The affidavit states that the exemption is only valid for driving a company vehicle for business purposes and not for personal use. The document must be authorized by an authorized person with their title, printed name, and signature.
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