Procedure No. 915.6 - Supplement 1

Description: Vehicle Accessibility - Vehicle Request Form

                                                  Facilities Use Only
                                                       Bus______
                                                       Van______
                     
                        Atlantic Cape Community College
                           VEHICLE REQUEST FORM
DEPARTURE DATE ___________________                RETURN DATE__________________
DEPARTURE TIME ___________________                RETURN TIME__________________
DRIVER(s) _____________________________________________________________________
DRIVER(s) LICENSE NO. _________________________________________________________
DESTINATION ___________________________________________________________________
PURPOSE _______________________________________________________________________
DRIVER REQUESTED:                                   YES ________    NO ________
ESTIMATED ROUND TRIP MILEAGE _______________________ @ $ 0.35 PER MILE
REQUESTER SIGNATURE __________________________________   DATE _________________
 *****************************************************************************
APPROVING AUTHORITY SIGNATURE _________________________________________________
Atlantic CapeOUNT TO BE CHARGED _________________________________________________________
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PROCEDURES AND POLICY:
All requests are on a first call first served basis.  Reservations may be made
via phone at ext. 5212 or 5127.  However, a completed request form must be
received by Facilities Management to confirm delivery.  Requests should be made
as early as possible.  Facilities Management shall not be responsible for delays
due to incomplete requests or insufficient notice.
Vehicle and keys can be picked up and returned at the Security Building.
All vehicle users shall be charged a rental cost per mile to finance the vehicle
leases.  All vehicles are supplied with a full tank of gasoline at no charge. 
Additional gasoline usage will be backcharged.  Cancellations must have at
least 24 hours notice or there shall be a penalty charge of $35.00 per vehicle. 
Required drivers' wages shall be charged to the user department.
SIGNATURE OF THIS REQUEST IS Atlantic CapeEPTED AS AUTHORIZATION TO BACKCHARGE THE 
REQUESTING DEPARTMENT FOR ANY OR ALL OF THE ABOVE CHARGES.

Procedures:

Driver Summary Form for Insurance Purposes Supplement 2, No. 915.6
Fuel Dispensing Control No. 915.7

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