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Request for Unmarked Vehicle Authorization (MP-4)

When it is determined that an unmarked vehicle is necessary for completing
assigned duties, the overseeing Department may request authorization by
completing the following form.

Unmarked vehicle authorization is only given when a clear benefit to the
State is demonstrated.

The Division of Fleet Operations shall approve requests based on the criteria
in Statute UCA 41-44-44.1(20), and the approval of the requesting agencies Director.

Basic Information
Requestor Name:
Operator ID:
Vehicle ID:
License Plate Number:
Department:
Division:
Workplace Address:
Workplace Phone:
Workplace FAX:
Workplace Email Address:
Name of Authorizing Director:

Phone of Authorizing Director:

Email of Authorizing Director:

Request Justification
How many days per month will the motor vehicle be in use? (There are an average of 21 working days per-month.)

Will the motor vehicle be in the direct service of the Governor, Lieutenant Governor, Auditor, Attorney General or State Treasurer of the State of Utah?
Yes    No
Will the motor vehicle be used in investigative work where secrecy is essential?
Yes    No
Is the vehicle provided to the requestor as part of an employment compensation package that allows for personal use of the vehicle?

Yes    No
Would the personal safety of the occupant(s) of the motor vehicle be in jeopardy if the "EX" registration plate were used?
Yes    No
If the justification for the request is not covered above, please describe in detail the reason for this request.

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