ࡱ> ~}U@ >Bbjbj ;V >>>8vT8jHHHHHRfh1111-147$?9R;7QBHHBB7HHC8BHH1B1L&',|-H^ @Śm>X,.dY808,=<nV=<$-=<-|0" <77zz REQUEST FOR THE USE OF A STATE VEHICLE Please submit to the Facilities Services Dept. at least five (5) days prior to the trip. Please print or type. REQUESTED BY: FORMTEXT       FORMTEXT      NAMEDATE  FORMTEXT       FORMTEXT      TELEPHONE NUMBERFAX NUMBER Type of Vehicle Requested: Auto  FORMCHECKBOX  (3+ Driver) Van (9+Driver)  FORMCHECKBOX  Destination: FORMTEXT      No. Of Passengers: FORMTEXT    Departure from UMW:DATE: FORMTEXT      TIME:  FORMTEXT       Return to UMW:DATE: FORMTEXT      TIME:  FORMTEXT       Purpose of trip: FORMTEXT       Dept. Name: FORMTEXT      Fund FORMTEXT      ORG FORMTEXT      Account FORMTEXT      Program FORMTEXT       Driver(s) name(s). Please list all potential vehicle operators. All student drivers must be certified: FORMTEXT       FORMTEXT       FOR STUDENT TRIPS: Name of faculty/staff member who will accompany: FORMTEXT       If you are traveling in the evening, you must pick up your vehicle packet by 4:00 PM on travel day, or if traveling on the weekend, by 4:00 PM on Friday. APPROVED BY:  FORMTEXT      Department Head/Chair -Print NameTeleph4 6 J N P R T h j l v x | ~ ĹĪĪkĹĹ`ĪhN5CJ\aJ)j'h|hN5CJU\aJ(jh.w5CJU\aJmHnHu)jS'h|hN5CJU\aJjh|5CJU\aJh|5CJ\aJh|h|5CJ\aJhi}5CJ\aJhNCJaJhN5CJ\h:;?5CJ\jh:;?URT4 6 R z | f{kd;($$Ifl\!  t644 la$IfgdNl@$a$gdK > B R V t   2 4 6 < ۸ۭ۸|j||X|#j-h.wh.wCJUaJ#j,h.wh.wCJUaJjh|CJUaJh|CJaJhNCJaJ)jg*h|hN5CJU\aJh|5CJ\aJh|h|5CJ\aJ(jh.w5CJU\aJmHnHujh|5CJU\aJ)j)h|hN5CJU\aJ   < > T pppp$IfgdNl@{kd*$$Ifl\!  t644 laT V X 8 < V ~ pppp$IfgdNl@ykd+$$Ifl\!  t644 la< V X l n p z |    " $ 2 4 6 J L N X Z ^ ` z }uc}}ᣛ#j/hB 2hNCJUaJhB 2CJaJjhB 2CJUaJ#jA/hi}hi}CJUaJh:;?CJaJhNCJaJ#j-hi}hNCJUaJ"jh.wCJUaJmHnHu#j{-hi}hNCJUaJhi}CJaJjhi}CJUaJhi}hi}CJaJ& & 4 \ nnnnn$IfgdNl@{kdc.$$Ifl\ (*( t644 la\ ^ ` ~ pn[[[[[$IfgdNl@kd+0$$IflrN D@&6 F t644 la   $ & ( 2 ڽȱvh_Kh8%jh.wCJU]aJmHnHu&j2hB 2hNCJU]aJhB 2CJ]aJjhB 2CJU]aJhB 2hB 26CJ]aJhB 2hB 2CJaJhNCJaJ#j1hB 2hNCJUaJhB 2CJaJjhB 2CJUaJhi}hi}CJaJ"jh.wCJUaJmHnHujhi}CJUaJ#j1hi}hi}CJUaJhi}CJaJ  6 pn[[$IfgdNl@kd 2$$IflrN D8&6 F t644 la2 4 6 8 : F P R T h j l v x $ȴȢȴ~ȴlȴZ#jw5h:;?h:;?CJUaJ#j5h:;?h:;?CJUaJ#j4h:;?h:;?CJUaJ"jh.wCJUaJmHnHu#j4h:;?h:;?CJUaJjh:;?CJUaJhP CJaJh:;?CJaJhNCJaJhB 2hB 26CJ]aJhB 2hB 2CJ]aJjhB 2CJU]aJ#6 8 : R z $L$Ifl~2Ukdq3$$Ifl0*T$ t644 la $&:<>HJLNPRd "$8:<FHLNbdfprtvx󿷯vLjdLjXhJhJ5CJaJ#j9hB 2hNCJUaJ#j7hB 2hNCJUaJjhB 2CJUaJhB 2CJaJhB 2hB 2CJaJhTq(CJaJhNCJaJhphCJaJh:;?CJaJ"jh.wCJUaJmHnHu#j5h:;?ha"CJUaJha"CJaJjha"CJUaJLNkdc6$$Ifl `VB#_'*ak ov+ t*((((44 laNP"JLtvxQBkd|9$$Ifl*+ t644 laUkdb8$$Ifl0"*" t644 la$IfgdNl@x(*,`b~qooo[[[[$@&IfgdNl@zkd:$$Ifl0*@  t0644 la$IfgdJll $&*,b::::볬yrjcr[Y[KrhihhN5CJ\aJUhihhN5 hihhNhihhN\ hB 2hNhB 2hB 25CJ\aJjh.wUmHnHuj ;h|@UhyjhyU hB 2hB 2hNCJaJhJhJ5CJaJ"jh.wCJUaJmHnHu#j :h|@hJCJUaJhJCJaJjhJCJUaJ:ooo\$IfgdNl@$@&IfgdNl@{kd;$$Ifl\*j t644 laone No.  FORMTEXT      SignatureDate Vehicle Available FORMTEXT      Assigned # FORMTEXT      Not Available FORMTEXT      If state vehicle not available, use of personal vehicle is authorized at remuneration rate of 32.5 cents per mile. A copy of this vehicle request must be attached to the Travel Expense Reimbursement Voucher.  FORMTEXT      Transportation Coordinator (Facilities Services)Date 1. All trips in connection with the instructional program of the University must be approved by the Chair of the Academic Department involved. 2. All drivers must possess and display valid driver s license, and be at least 18 years of age. Student drivers must complete the UMW Driver Training Course before operation of a vehicle, and sign the vehicle use agreement. 3. Arrangements for pickup and return should be made directly with the Facilities Services Dept., Ext. 2075 or Ext. 2076. PLEASE RETURN VEHICLES ON TIME SO THEY WILL BE AVAILABLE FOR THE NEXT PERSON TO PICK UP. 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