Safe Driving Agreement

Driving Agreement with My Family

Dear Family,
The day will come when I can no longer make the best decision about driving. I won’t understand safety for myself or others on the road. In order to help my family make inevitable decisions, I am preparing this agreement while I am still able.

I would like to drive as long as it is safe to do so. I have discussed this with my family.

When it is no longer reasonable for me to drive, I want ________________________
to tell me I must stop driving.

Please take the necessary steps to prohibit my driving. This is for the safety of others as well as me.

Signed __________________________________ Date _____________________

Witnessed by ________________________ ______________________________

I have sent copies of this agreement to:

___________________________________ _______________________________

___________________________________ _______________________________