Rental Vehicle Trip Request Form

The vans are 15-passenger vehicles.  They are for college use only and are not available for private rental.  Click here to read the Policy for Use of Hendrix College Rental Vehicles

Select Transportation:

    


Requester Name:      Requester Email:  

Name of Department:      Account Number:  

Organization Requesting Vehicle:    Phone #:     

Faculty/Staff Member Requesting Vehicle:    (must be on trip)

Driver’s Name (Complete only if you are providing driver.  Driver must be certified through our Public Safety Department):     

Hire Driver: 

      

 

Destination (Please be precise):  

Date Leaving:     Time Leaving Terminal:  

Pick-up Location: 

Date Returning:     Expected Return Time:  

Drop-off Location: 

Name of Sponsor:   

Special Instructions:

   

 

COMPLETE THE INFORMATION BELOW UPON RETURN OF RENTAL VEHICLE:

VEHICLE SHOULD BE RETURNED WITH A FULL TANK OF GAS.  Failure to do so will cause a $30 handling fee in addition to the cost of the fuel to be charged to your account.

 

Mileage Leaving Terminal:     

Mileage Returning:   

Actual Time Leaving:     

Actual Return Time:   

Initial here to certify that you have returned the rental vehicle with a full tank of gas:  


Please return vehicle to Facilities Management along with paperwork and keys upon trip completion.  If Facilities Office is closed, put keys in book and drop into door slot located on Facilities entrance door or call Public Safety at 450-7711.