Fleet Management Services -- Assigned Vehicles -- Online Request Form

Type of Request:

*

Plate No. (if replacing vehicle):

Estimated Miles/month:

*

Type of Vehicle:

*

After-Market Equipment:

Fiberglass Cap:
Roof-rack:
Toolbox:
Snow Plow:
Material Spreader:
Lift Gate:
Partitions:
Passenger Screen (installed behind the seats):
Window Screens:
Rear Property Screen:

Vehicle's Primary Use:

*

Vehicle Will be Used for:

Passenger Transport:

Number of Passengers:

Replacing Mileage Reimbursement:

Est. Miles Replaced by this Vehicle:

Off-Road Use:

Est. Percentage Off-Road Driving:

Cargo Transport:

Type of Cargo:

Department:

*

Division:

Director:

Director's E-mail:

Business Manager:

*

Business Manager's E-mail:

*

Contact Name:

*

Phone:

*

Email:

*

Billing Code:

*

Additional Details:

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