Government Vehicle Request Form

Reservations will be made in accordance with S.P.I. 5-05 guidelines. Please note: For periods longer than three days, the request must be followed by a memorandum from the Department Chair or Division Manager explaining purpose of trip, length of time out of pool, and project/activity to be charged.

Reservations may be made by completing this form and submitting it, or you may contact the BNL Transportation Office at transportation@bnl.gov , X2535 or FAX X6167.

Please provide the following contact information:

Driver Life/Guest #
Pickup Date Pickup Time
Return Date Return Time
Destination (Include  City & State)

          Project and Activity Number Must Be Provided to Confirm Request

Project No.              Activity No.       Dept Code
         

Type of Vehicle Requested - Please Indicate By Order Of Preference (Confirmation Will Be Met Based On Availability)

Sedan
Station Wagon
7  Passenger  Mini Van
Requested by
Extension
 FAX
Email  

 

Remarks     

Transportation Use Only

 Confirmed by 

Date

Remarks


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Revised: August 06, 2001