State Vehicle Request Form
TODAY'S DATE
DRIVER'S NAME(S)
DEPARTMENT ACCOUNT #
DESTINATION(S)
PURPOSE OF TRIP
FROM (Date/Time) TO (Date/Time)
TYPE OF TRANSPORTATION REQUESTED (Check one):
CAR VAN* TRUCK**
* Van availability must be checked through Athletics at extension 2482 before this form is submitted.
** Truck availability must be authorized by Physical Plant at extension 2215.
DRIVER'S SIGNATURE(S)
SUPERVISOR'S SIGNATURE
APPROVED BY
ADMINISTRATION & FINANCE
A vehicle will not be assigned unless this form is completed
and in the hands of the dispatcher 3 working days before the trip.
Dispatcher is available Monday to Friday 8 a.m. to 4 p.m. at extension 2658
and should be notified of any changes or cancellations.
OFFICE USE ONLY
Approved: YES
NO
Reason:
Notes:
FARMINGDALESTATECOLLEGE
USEOFSTATEVEHICLES
INSTRUCTIONS
ThefollowinginstructionspreparedbyFleetManagementareintendedtoprovideguidanceinthe
useofstateownedvehicles.Pleasealsoreview the NYS TravelManual and the College's Vehicle Usage Procedures:
http://www.osc.state.ny.us/agencies/travel/manual.pdf
https://www.farmingdale.edu/administration/administration-finance/physical-plant/policiesandprocedures.shtml
1. OperationofStatevehiclesmustbeinfullcompliancewith allNewYorkStatelaws.
2.
AlleligibledriversmustbeemployeesofNewYorkStateorotherauthorizedpersonnel and havea
validdriver’slicense.
3. SmokinginStatevehiclesisprohibited.
4. Drivingundertheinfluence ofdrugs/alcoholisprohibited.
5.
Possessionand/oruseofalcohol,illegaldrugsorotherintoxicatingsubstancesinaStatevehicle is
strictlyforbidden.
6.
Useofcellularphones,blackberriesandotherelectroniccommunicationdevicewithouta handsfree
adaptorisprohibited.
7.
StatevehiclesmustbeusedonlyonofficialStatebusiness.Personaluseofstatevehiclesis prohibited.
8. Driversaretoconformtoal
lNewYorkStateMotorVehicleregulations.
9.
Requestformsforvehicleusagemustbefilledoutandproperlysignedandinthehandsofthe
dispatcher3dayspriortodeparture.
10. Vehiclesshouldbepickedupbetween7:30amand4:00pm.
11.
Whenvehiclesaretobepickeduponweekendsandafterhours,employeesmustarrangewith
dispatcheratextension2658orthegarageatextension2492topickupkeys.
12.
AcreditcardforgasolineisintheglovecompartmentandanEZPassisaffixedtothewindshield for
yourconvenience.
13. Itisyourresponsibilitytoseethecariskeptclean.
14.
Themileagelogmustbeproperlyfilledoutattheendofeachdestination.Pleasemakeall notations
sotheyarelegible.
15.
Please notify the dispatcher at 2658 of any cancellations, requests for pick-up time changes, or
delays returning the vehicle.
16.
Employees must be on campus eligible drivers list. Please contact campus police at extension 2111
or the dispatcher at extension 2658 to ensure driver is eligible to operate a state vehicle.
18. Cars
returningtoCampusafter4:00pmandonweekendsshouldparkthe
vehicleinfrontofthe
Garage
and
depositthekeysintheboxatthegaspumps.
Pleasebesuretofollowtheseprocedures.
Yourgoodjudgmentshouldbeexercisedatalltimes
foryoursafetyandthatofothers.
17. All employees requesting a state vehicle must also submit a Travel Authorization to Accounts Payable.