100 E Normal
Kirksville, MO 63501
660.785.4176
Emergency - 911

Fleet Vehicle Reservation Request Form

From:
Name: ^{Person submitting form}
Division/Department:

Phone:
Email:

Destination/Schedule:
Destination: ^{City & State}
Depart Date: ^mm/dd/yy

^{NOTE: INDICATE THE
DATE VEHICLE KEYS WILL BE PICKED UP}

Time: ^{PLEASE
Indicate a time. Helps with maintenance.}

Return date: Time:

Key drop box (with trip sheet indicating begin & end mileage) on north door for returns after building closes
RETURN AS SCHEDULED --

Bill to:
Department name:

Organization code:

Business Purpose:

^{i.e., Recruiting; attend
conference; transportation to airport, etc.}

Approximate number of people to be transported:

Type/number of vehicle(s) requested:

If more than one vehicle is required for a specific trip, all vehicles may be submitted on one form

Cars: (4 persons maximum)
Mini vans: (7 persons maximum)
# Vans: (9 persons maximum) ^{REQUIRES TRAINING}

_*Mini-Bus (20): ^{University Driver
Required & Provided}
_*Mini-Bus (28): ^{University Driver
Required & Provided}_*Mini-Bus (33): ^{University Driver
Required & Provided}

*Detailed itinerary minimum 10 business days prior to trip

Name of Person(s) picking up vehicle keys:

Public Safety Building Hours

7:30 a.m. - Midnight

(Closed on University Holidays & Breaks)

Don't fill in this field: