<p> REQUEST FOR VEHICLE USE</p><p>DATE OF REQUEST: </p><p>EMPLOYEE MAKING REQUEST: </p><p>DATE AND TIME OF DEPARTURE: </p><p>DATE AND TIME OF RETURN: </p><p>NAME OF PASSENGERS: </p><p>DESTINATION: </p><p>PURPOSE OF TRIP: </p><p>WILL GAS CREDIT CARD BE NEEDED*? YES ( ) NO ( )</p><p>*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.</p><p>SIGNATURE OF PERSON MAKING REQUEST</p><p>------</p><p>APPROVED: ( ) DISAPPROVED: ( ) </p><p>VEHICLE ASSIGNED: # DIRECTOR OF PHYSICAL PLANT or MAINT SUPERVISOR</p><p>VEHICLE LIST</p><p>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 </p>