PASSENGER LIST FOR 15 PASSENGER VANS
Parking & Transportation Services Phone: 403.440.6914 Fax: 403.440.6722
One form must be completed for each van
Department: ______________________________________________________________ Departure Date: ________________________ Return Date: ________________________ Purpose of Trip: ____________________________________________________________
Office Use Only Vehicle # _______________ _______________
List all persons traveling (list drivers first): NAME 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ CAMPUS CARD # __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ DRIVER Y/N __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________
This form must be dropped off or faxed to Parking & Transportation Services prior to the vehicle leaving Mount Royal property.