Vehicle Request Form

In order to drive a state vehicle, you must possess a current California driver’s license and a CSUSM defensive driving certificate.

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mm/dd/yy
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mm/dd/yy
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SIX DIGIT NUMBER. Provide a valid code. We cannot provide a vehicle unless the code is valid.
Vehicles are billed out at a daily rate plus mileage. Please see the Vehicle Rates page for a quick reference.


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Sedan
Pick-Up Truck
8 Passenger Van
1-Ton Truck


I require a Disabled Person Placard for this reservation.

WARNING:
Misuse of a Handicap Placard 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.
Please provide your name & email address to receive a confirmation of your submittal.

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Submit