Fillable BUSreqFORM Texas Woman’s University

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BUSreqFORM Texas Woman’s University

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Country of origin: US
File type: PDF

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Texas Woman’s
University
Bus Transportation Request
Requests are processed on a first come; first serve basis. Please HPDLO request WRIOHHWVHUYLFHV#WZXHG
X
EXVLQHVVGD\VDGYDQFHQRWLFHLWLQHUDU\DQGFKDSHURQHDUHUHTXLUHG
Requesting Department: __________________ ___ Phone_______________________________________
Estimated travel miles: __________
Number of Passengers_________________________
Departure Date ____ __________________________ Departure Time ______________
Return Date
Return Time ___________________
Purpose ____________________________________________________________________________________________
[ ] Academic [ ] Extra-curricular
Destination and Address: _______________________________________________
Point of Departure and Return: North Pioneer Hall [ ] West Library [ ]
West Jones [ ] Tennis Court [ ]
______________________________ ______________________________ ____________________
Requesting Employee (printed name) Requesting Employee (Signature) Phone
______________________________ ______________________________ ____________________
Chaperone (printed name) Chaperone (signature) Cell Phone
______________________________ ______________________________ ____________________
Account Approver (signature) Title Date
Department Account No
.
Email Address Required _____
DO NOT WRITE IN THE SPACE BELOW
AUTHENTICATION
By signing, I certify that the information stated in this document is true and correct.
Actual Departure Date and Time____ Actual Return Date and Time____________________
Driver Signature Department Personnel Signature
CONFIRMATION
Approved: [ ] Yes [ ] No
____________________________________ ____________
Office of Facilities Management Auto Shop Date
Revised 04.04.17
X:/FMC/Central Files/1302/1302.3/1302.3.4
In case of Emergency please call:Dan Knabe
940-465-4090 or Larry Shead at 940-783-1479
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BUSreqFORM Texas Womans University

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Completed 4 December 2019

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