Academic Van Reservation Request
Person requesting the reservation: ______________________________________________________________
Contact person and number to be used while traveling: _______________
How may vans? _________ 1 or ________ 2
Program or Course the van will be used for:____________________________________________________
Where will you be going?_________________________________________________________________________
Please list the drivers: ____________________________________________________________________________
(must have a driver’s license release form on file in HR to be able to drive an RMC vehicle)
**Note** Students may not drive with passengers in the vans.
Who will pick up the keys? ____ Date Time______________________
Who will return the keys? _____________________Date ___________________Time______________________
I will depart on: Date Time ______________________________
I will return on: Date Time ______________________________
I understand that I am expected to do the following prior to returning this
vehicle, and that my department may incur charges if I do not complete
the following:
Fill the gas tank.
Clean van inside and out .
Please park in the reserved spots west of Jorgensen.
Return the keys and copy of Vehicle Check-out Sheet to Assistant to the
Academic Vice President in Morledge-Kimball 312. Office hours are
7:00 a.m. – 2:30 p.m. Monday through Friday.
Record mileage information.
Report, in writing, any issues, damage to the van incurred before or
during your use.
