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Bus/Passenger Van Request Form

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BUS/PASSENGER VAN REQUEST FORM

*Buses and Passenger Vans are assigned based on a first-come, first-served basis; therefore proper travel planning is recommended.

*Department Head Approval is required when utilizing departmental fund/budget codes for travel purposes. Please obtain approval BEFORE requesting a bus or van for all travel needs.

*ONLY Facilities University Bus Drivers are allowed to drive the buses and passenger vans.

*Departments are responsible for the Facilities University Bus Driver's overnight lodging and other costs associated with their travel (ex: toll and bridge fees, parking costs, etc.)

DIRECTIONS

Select the type of bus and/or passenger van you would like to reserve. Please complete all information accurately. The Facilities University Bus Driver will use this information as a guide for your travel.

Handicap Accessible Passenger Van Reservation : *

Passenger Van Reservation : *

Storage Trailer attachment for Passenger Vans ONLY : *

Passenger Bus Reservation : *

F-250 Pickup Truck : *

Department Name : *

Fund Code : *

Date(s) of Travel : *

Requestor Name : *

Requestor Phone Number : *

Requestor Email : *

Number of Passengers : *

Departure Location - Building Name : *

Departure Time : *

Return Location - Building Name : *

Return Time : *

Travel Destination - City and State : *

Is this an overnight trip?*

Event Information and Address : *

Hotel Information and Address : *

Itinerary Section - Additional Info Regarding Trip : *

Contact Person for Trip - Name, Office Extension, and Cell Number : *