Form 1

The completed Form 1 (xls) MUST be submitted via email to transportation@purdue.edu at least 24 hours prior to the date and time of the requested vehicle reservation time. A Form 1 will be considered completed only if all required fields are properly filled out. Digital signatures will be accepted in the case of remote workers.

Form Fields/Instructions

  • Driver — This is the individual who will pick up the vehicle from Transportation Services
  • Phone Numbers
    • Office Phone: A phone number to reach someone who can confirm travel details or help with billing questions
    • Cell Phone: Cell phone number of the driver in case they have not picked up the reserved vehicle or there is a question about the reservation
  • Account Number — Only one account number can be used because charges cannot be split. One account number is required, either an internal order number, WBSE (F or C) number, or business partner number.
  • Type of Vehicle — Place an "x" indicating the type of vehicle requested or define your specialty vehicle
  • Destination(s) — List the city(s) and state(s) where the rental vehicle will be driven
  • Official Start and Return — List the date and time keys will be picked up and returned via the automated kiosk
  • Purpose of the Trip — Examples include meeting, research, event, training, sports competition, etc.
  • Mileage Information — This information assists Transportation Services with the accuracy of billing. Transportation Services recommends using Google Maps to plan routes and estimated daily usage
  • Department Signature(s) — Provide a signature from an authorized departmental, business office or school leader. This signature certifies that the vehicle rental falls within the University Policy for Use of Vehicles for University Business and all fees associated with the reservation will be paid upon the conclusion of the rental using the account information provided.
  • Driver Signature — The driver signature is required. By signing this form, the driver acknowledges he or she has a valid driver’s license and has completed the required steps from the Office of Risk Management to be authorized to drive the requested vehicle.
  • Department — This is the name of the driver's department or the department authorizing the vehicle rental.
  • Building — Location of the renting department

Please contact Transportation Services at transportation@purdue.edu or 765-494-2114 with any questions.

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