Fillable Vehicle Assignment Request Form

Fill Online, Printable, Fillable, Blank Vehicle Assignment Request Form Form

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Vehicle Assignment Request Form

On average this form takes 7 minutes to complete

The Vehicle Assignment Request Form form is 1 page long and contains:

  • 2 signatures
  • 20 check-boxes
  • 12 other fields

Country of origin: US
File type: PDF

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Vehicle Assignment Request Form
Department: __________________________ Org Code: ___________
Vehicle Class: ☐Car ☐Van ☐Pick-up ☐Straight Truck ☐Box Truck ☐UTV
☐Other ___________________
Vehicle Type: ☐Passenger ☐Cargo ☐Utility
☐Special Purpose ________________________
Vehicle Grade: ☐Light Duty ☐Commercial ☐Other _________________
Vehicle Rating: ☐1500 ☐2500 ☐3500 ☐4500 ☐5500
☐Other ________________
Estimated Weekly Miles Driven: ______Expected Weekly Trips: ________
Estimated Weeks Used in a Calendar Year: __________
The intended purpose of the vehicle, and how it will benefit the department.
Supervisor Signature __________________________________ Date ________
Vice President/ Dean Signature __________________________ Date
________
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Vehicle Assignment Request Form

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Completed 2 March 2020

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