Vehicle Use Form

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Request for use of a College vehicle should be made as early as possible—no less than 1 week inadvance. You will be notified promptly after this request is processed to confirm/deny your request basedon availability. If you need vans departing when the Vehicle Use Office is closed, special arrangements forpick-up of the vehicle booked will be made. Please notify the Vehicle Use Supervisor when canceling a vanso it can be made available for someone else.

Vehicle Use Form

One Form Per Vehicle

*Required

Driver*

Date of Request* (MM/DD/YYYY)

Department*

Grant #

Person making Request*

Phone*

Purpose of Trip*

Destination*

Estimated Trip Mileage*

Departure Date*

Departure Time*

Return Date*

Return Time*

Number Of Passengers*

Names of Passengers

Passenger 1 (Driver)*

Passenger 2

Passenger 3

Passenger 4

Passenger 5

Passenger 6

Passenger 7

Passenger 8

Passenger 9

Passenger 10

Passenger 11

Passenger 12

INSTRUCTIONS FOR USE OF COLLEGE VEHICLES

Request vehicle in timely manner
Complete all required paperwork
Provide trip itinerary prior to departure and legible list of passengers must be included on the back of thisform so we know who to contact in case of emergency.
Pickup & return vehicle in the time stated (or contact Tom Brown, Vehicle Use Manager (406-768-6300)should there be a change)
Check to ensure registration and insurance cards are in the vehicle prior to departure
Any noticeable vehicle damage must be reported before departing or you will be held responsible.
If cleaning or repairs beyond normal wear and tear is needed, a charge will be assessed against yourdepartment.
Report all accidents upon return to Tom Brown
Return the vehicle clean and fueled
Smoking is not permitted in FPCC vehicles
Do not drink alcoholic beverages or use controlled substances (unless prescribed) while operating vehicles
Do not transport alcohol or illegal drugs in vehicles

I have read and understand my responsibilities that pertain to the use of Fort Peck CommunityCollege vehicle(s) and agree to follow the directives as they are presented and that any infractionsmay affect future use of FPCC vehicles.

Thank you! Your submission has been received!

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Fort Peck Community College is an Equal Opportunity Employer. FPCC pledges to recruit, hire, train, and promote employees without discrimination because of race, color, religion, gender, age, creed, status of marriage of public assistance, national origin or physical requirements or bona fide occupational qualification, or where Indian Preference or Veteran’s Preference is appropriately claimed.

Fort Peck Community College complies with the provisions of the Drug Free Schools and Communities Act of 1989 and the Drug Free Workplace Act of 1988.

PO Box 398 Poplar, MT 59255 

(406) 768-6300