Request for Vehicle Use
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REQUEST FOR VEHICLE USE
DATE OF REQUEST:
EMPLOYEE MAKING REQUEST:
DATE AND TIME OF DEPARTURE:
DATE AND TIME OF RETURN:
NAME OF PASSENGERS:
DESTINATION:
PURPOSE OF TRIP:
WILL GAS CREDIT CARD BE NEEDED*? YES ( ) NO ( )
*Please contact the Finance Office to check-out the gas card. Card must be returned no later than two business days following the scheduled return date.
SIGNATURE OF PERSON MAKING REQUEST
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APPROVED: ( ) DISAPPROVED: ( )
VEHICLE ASSIGNED: # DIRECTOR OF PHYSICAL PLANT or MAINT SUPERVISOR
VEHICLE LIST
TAG MODEL MAKE CAPACITY #778 2012 DODGE CARAVAN 7 PASSENGER #401 2009 CHEVROLET COLORADO 2 PASSENGER #780 2007 DODGE CARAVAN 6 PASSENGER #866 2007 FORD VAN 10 PASSENGER #224 2005 DODGE CARAVAN 6 PASSENGER #818 2005 DODGE CARAVAN 6 PASSENGER #817 2005 DODGE CARAVAN 6 PASSENGER #646 2004 FORD TAURUS 4 PASSENGER #629 2001 DODGE VAN 8 PASSENGER #865 1994 FORD VAN 7 PASSENGER