Shippensburg University - Vehicle Request

Driver's Name:

Driver's Email:

Cost Center:

Vehicle Type:

Car

Minivan

Van

Vehicle Capacities (Including driver): Car: 5 people; Minivan: 7 people; Van: 15 people

Occupant Count (including driver)

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Begin Date:

Estimated Pickup Time:

Before 8:00 am or non-workdays, pick up keys from University Police.

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End Date:

Estimated Drop off Time:

After 16:00 pm or non-workdays, drop off keys with University Police.

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Passenger Names:

Destination(s):

Purpose of Trip:

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I confirm that I have read the below document entitled "Guidance and Rules for Operating State Vehicles" and agree to the following terms and conditions.

Guidance and Rules for Operating State Vehicles

Drivers must be Shippensburg University employees (Commonwealth employees only) with a valid driver's license. Passengers must be SU, PASSHE, or Commonwealth employees, and/or students on official university business; visiting faculty, dignitaries, or guest speakers of the University. Vehicles may only be used for official University business.

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