Fillable Vehicles require 72-hour notice and keys must be (Texas Woman's University)

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Vehicles require 72-hour notice and keys must be (Texas Woman's University)

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  • 13 check-boxes
  • 29 other fields

Country of origin: US
File type: PDF

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Van Request Form
VAN
Fill in all applicable information and send a form for each vehicle requested to
Facilities Management & Construction via email at fleetservices@twu.edu.
Vehicles require 72-hour notice and keys must be picked up prior to 4 p.m.
In case of After-Hours Emergency please call: Dan Knabe at (940) 465-4090
VAN with special needs
Requesting Department: Phone:
Fuel Credit Card Needed: Yes No
Number of Passengers: Estimated travel miles:
Purpose:
Destination:
Departure Date(s)
Departure Time(s)
Return Date(s) Return Time(s)
Each person named must provide the Auto Shop staff a valid Driver-Authorization Number along with a valid driver’s license and
this paperwork in order to obtain keys to the vehicle(s) assigned.
A Driver Authorization number may be requested through Risk Management website: https://twu.edu/risk/
Driver(s) 1. Authorization #
2. Authorization #
Faculty Staff
Faculty Staff
Student
Student
3. Authorization # Faculty Staff Student
Requesting Employee (signature) Date Account Approver (signature) Date
Department Account No.
Email Address Required
DO NOT WRITE IN THE SPACES BELOW
Vehicle Information
Mileage In:
Cost:
Cell Phone
#:
FMC Representative:
Vehicle Number:
Mileage Out:
Total Mileage:
Driver Signature:
IDT Number:
Revised 03.06.20
X:/FMC/Central Files/1302/1302.3/1302.3.4
FMC Internal Form
V
ehicle Request Form
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Vehicles require 72-hour notice and keys must be (Texas Woman's University)

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Completed 28 August 2020

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