VEHICLE REQUEST FORM Employee Requesting Vehicle Campus Department/Division Type of Vehicle Destination Number of Persons Name(s) of Passengers* Purpose of Trip Date/Pick Up Time Date/Time of Return Driver’s License # Expiration Date *Note: Passenger Liability Waiver Required for All Unauthorized Passengers.
_______________________________________________ ______________ Signature of Employee Requesting Vehicle Date APPROVAL: ______________________________________ __________________________________ Supervisor of Employee Date Transportation Coordinator Date Original: Transportation Coordinator; Copy: Employee Form 1382/001 (9/04)
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
1382-001 Vehicle (Delgado Vehicle) Request Form Updated 3-12 editable PDF 9-22.pdf
DELGADO FORMS 
