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Vehicle Requests Form

*Driver's Name

*Campus Department:

Date Requested:

mm/dd/yy

Date Returning:

mm/dd/yy

Trip Destination:

*Chargeback Code:

SIX DIGIT NUMBER. Provide a valid code. We cannot provide a vehicle unless the code is valid.

Academic Course Number:

Number of Passengers:

Choose Vehicle Preference:

Sedan

Pick-Up Truck

15 Passenger Van (requires class B or higher license)

8 Passenger Van

1-Ton Truck

Special Request (Vehicle Preference):

Handicap Placard

I require a Disabled Person Placard for this reservation.

WARNING: Misuse is a misdemeanor (Section 4461VC) and can result in cancellation or revocation of the placard, loss of parking privileges and/or fines up to $3,500 and/or imprisonment up to 6 months in county jail.

This part of the form is for you, the person registering the vehicle.

Your Name:

Submit

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California State University San Marcos
333 S.Twin Oaks Valley Rd.
San Marcos, CA 92096-0001