1. Vehicle Rental Request Form
      1.         
      2. Title Division/Dept
      3. Delgado Email**
      4. Dates/Times Vehicle is Needed:
      5.  START Date/Time      END Date/Time:
      6. Address of Preferred Enterprise Location – Choose One:
      7. Home Address



Vehicle Rental Request Form
 
 



               

Required Information: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

 
I request Delgado’s Accounts Payable Office to reserve a vehicle rental on my behalf for authorized business travel and I provide the required information below. I understand that:
 


· I am responsible for filling vehicle’s fuel tank to the level when vehicle was picked up, and I am eligible for fuel costs reimbursement.
· I must not return vehicle to the rental company to fill up the tank as fuel is then charged at higher rate.
· I must reimburse the College for any additional charges such as higher fuel rates than allowed, satellite radio, roadside assistance, etc.

______________________________________________
Today’s Date
Employee’s Signature

Printed Name      


Title Division/Dept

 

Home Phone* Daytime/Cell Phone     

 


*Note: Enterprise bases employee accounts on home phone numbers.



Delgado Email**

**You will receive an email confirmation from Enterprise when rental has been processed.

 



Dates/Times Vehicle is Needed:



 START Date/Time          END Date/Time:
 



Address of Preferred Enterprise Location – Choose One:


City Park: 4001 S. Carrollton Avenue; (504) 483-1779             

West Bank: 928½ West Bank Expressway; (504) 366-9400



Charity: 1019 Baronne Street; (504) 593-9068
Slidell: 56450 Frank J. Pichon Road; (985) 643-0102
Covington: 2611 N. Highway 190; (985) 893-0462
Other:  

 
-If you would like to be picked up, call Enterprise to arrange after you have received reservation confirmation email.
 
Optional Information: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
 
Providing the following information will expedite your request. If the information is not provided on this form, you must provide this information directly to Enterprise.

  Date of


Driver’s License # Exp. Date Birth



Home Address
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
This form must be submitted to Accounts Payable at least two (2) work days prior to travel. Send as EMAIL attachment to rparis@dcc.edu , or FAX form to (504) 361-6728.

Form 1380/005 (7/18)

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