Fleet Reservation Request Form

Helpful Links:

Trip Calculator (determine most cost-effective travel method before submitting a reservation)
Vehicle Pick-Up Sites and Location Hours
Customer Number List (e.g. BGS56, DCFS23, AOT49)
Business Unit List (e.g. 01160, 03340, 08100)

Trip Information

Vehicle Pick-Up Site:

Alternate Pick-Up Site:

Date of Vehicle Pick-Up:

Time of Vehicle Pick-Up:

Date of Vehicle Return:

Time of Vehicle Return:

Destination:

Reason for Travel

Are you comfortable using an Electric Vehicle (EV) for this trip?

Note: Selecting "Yes" does not guarantee that you'll receive an EV. We consider several factors before assigning one. But if assigned, you’ll be notified in the confirmation email and provided details on the vehicle and charging network.

Yes

Driver Information

Reservation For (full name):

Driver's Employee ID

Email:

Phone Number:

OPTIONAL: Are you a first-time renter?

Yes

Billing Information

Accurate information in this section is needed for proper billing. Please refer to the Customer Number List and Business Unit list. If you need further assistance, reach out to your Supervisor or Business Office for guidance.

BGS Customer Number

Business Unit (ex. 01160 = BGS):

GPS Acknowledgment

ACKNOWLEDGEMENT REQUIRED: Vehicles are equipped with a GPS fleet telematics system which monitors items such as Vehicle Data, Idle Time, Location, MPG, Route, and Speed.

I understand the vehicle is equipped with a GPS telematics system.

Driver Eligibility

I verify that the driver of the vehicle is a state employee AND has a valid driver's license in good standing in their state of residence as of the date/s of travel.

YES - The driver is a state employee AND has a valid driver’s license in good standing in the state in which they reside.

NO - the intended driver is not a state employee OR does not have a valid driver’s license in their state of residence.

Optional Comments/Notes:

Use this space for additional information such as project codes, vehicle needs, or other relevant details.

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