SJU: Office of Facilities Management

University News

Vehicle Request

REQUEST FOR USE OF SAINT JOSEPH'S UNIVERSITY VEHICLE
Requestor:		Tel # :
Department:

Department Head Authorization:		(sign here)

Budget Number:	- -
Destination:
Address:
Purpose:
Number of People Transporting:
Departure Date:		Departure Time(AM/PM):
Return Date:		Return Time(AM/PM):
Driver's Name:		Driver's License:
Saint .Joseph's University's ID. Number:
THE AUTHORIZED USE OF THIS VEHICLE IS FOR THE STATED PURPOSE AND THERE WILL BE A CHARGE, TO THE ABOVE BUDGET NUMBER OF $15.00 FOR THE FIRST DAY ONLY, AND FORTY AND A HALF CENTS ($0.485) PER MILE PER IRS REGULATION FOR VAN USE.VEHICLES ARE TO USED FOR SJU EVENTS ONLY;NOT FOR NON-SJU STUDENTS. DRIVER MUST BE 19 YEARS OF AGE AND PRODUCE A VALID DRIVER'S LICENSE TEN (10) WORKING DAYS BEFORE USE OF VEHICLE. DRIVER ALSO MUST HAVE COMPLETED THE REQUIRED UNIVERSITY SAFETY PROGRAM DRIVER TRAINING CLASS PRIOR TO USE OF VEHICLE. VEHICLES MUST BE BACK BY "RETURN TIME" STATED ABOVE WITH A CLEAN INTERIOR. EACH VAN CAN TRANSPORT A MAXIMUN OF 12 PASSENGERS PLUS THE DRIVER. THE DRIVER WILL BE RESPONSIBLE FOR ALL LIQUID LEVELS - GASOLINE, OIL, ANTI-FREEZ, ETC. FOR ASSIGNED VEHICLE.
I acknowledge and understand these regulations.
Signature:		Date:
SEAT BELTS MUST BE WORN - NO EXCEPTIONS
Departure(miles):		Return(miles):
Assigned Vehicle:		Actual Mileage:
Hours:		Cost($):
Remarks:
Print Page (Fax signed Approval form to Facilities Management at X3019)