DANVILLE AREA COMMUNITY COLLEGE
CAMPUS SERVICES TRAVEL REQUEST
DATE ______________________________________________________
DRIVER (S): ______________________________________________________
______________________________________________________
DEPARTURE TIME:
__________________DATE:_____________________
EXPECTED TIME OF RETURN:________________DATE:_________________
FACULTY / STAFF / STUDENTS / CHILDCARE (CIRCLE)
TOTAL TRAVELING (INCLUDING DRIVER): __________________
DESCRIPTION OF TRIP:___________________________________________
________________________________________________________________
________________________________________________________________
NUMBER OF VEHICLES REQUESTED: 1 / 2 / 3 / 4 (CIRCLE)
VEHICLE KEY NUMBER:__________________
CREDIT CARD ISSUED: BP / MOBIL / SHELL / CASEY'S (GAS RECEIPTS)
CARD NUMBER:
___________________________ _____________
___________________________ _____________
___________________________ _____________
SIGNATURE CHECKING OUT:______________________DATE:_________
SIGNATURE CHECKING IN: ______________________DATE:_________
ALL DRIVERS MUST HAVE LICENSE ON FILE WITH CAMPUS SERVICES
STUDENTS ARE PROHIBITED FROM DRIVING COLLEGE VEHICLES
UNLESS APPORVED BY AN ADMINISTRATOR OR HEAD COACH
FOLLOW BOARD POLICIES AND PROCEDURES MANUAL 4057.1 (VEHICLE USAGE)
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