RENTAL VEHICLE RESERVATION FORM
Today’s Date _________________ Date/Time Departing ___________________________________________________@_____________ AM or PM Date/Time Returning___________________________________________________@ _____________ AM or PM Destination(s) _________________________________________________________________________________ ____________________________________________________________________________________________ Number of Passengers ________________ Vehicle Desired (Please Circle): Compact Car Mid-Size Standard Full-Size Mini Van 12 Passenger Van
Name of Human Resources Approved Driver(s) ______________________________________________________ Only authorized drivers who have had an approved verified driving record check completed by Human Resources may operate Alverno vehicles. Plant Operations may not process any requests without an approved driver by Human Resources.
Contact Name ____________________________________
Contact Number ____________________________
Account Number to be Charged_____________ - _____________ For Student Drivers, you must have the following signatures Director of Student Life or Dean of Student________________________________________________________ Advisor of the Student Group ___________________________________________________________________
FOR OFFICE USE ONLY
Approved By ___________________________________________ Date ________________________________ Plant Operations Department
Debit Account Number ________ - __________ - _________ Credit Account Number _________ - ________ - ________
White- Plant Operations
Yellow- Department Copy U:\Plant Operations\PLANT ADMINISTRATION\Office Items\Vehicles Last Updated: 10/2007