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Transportation Request (Form 1)

Please complete this form online, then submit your order, otherwise it will not be processed.

You will receive a copy of the Form 1 with the charges after the trip is completed.

Driver:

Department:

Fund:

Cost Center:

SIO:

Internal Order:

G/L Account:

Destination(s):

Purpose of Trip:

Name all persons accompanying driver. (Please list names only)

Start Date/Time:

End Date/Time:

Vehicle Requested:

Special Arrangements:

Official Mileage to and from primary destination:

Estimated local mileage at destination:

Total estimated miles:

Certification- This trip has been authorized by the president's office under Pres. Form 17 (Rev) or 17B and provision has been made for payment in the budget of account indicated. The designated driver is a responsible employee of the University and possesses a valid Operator's, Chauffeur's or Public Passenger Chauffer's License issued by any of the fifty states to operate the type of vehicle provided and is familiar with the rules and regulations governing operation and use of University vehicles. No one other than employees named on this form who meet all university requirements is authorized to drive the vehicle. The vehicle will be used only to further the business of the university.

Signed (Dean or Director):
Signed (Dept. Head):
Your E-mail:
Phone:

After the form is filled out, please print a copy before submitting the form. Obtain the required signatures and mail the form to transportation at the Physical Plant, Room 113.

Note: To avoid duplication errors, please submit this electronic form only if you have not called in the reservation to the Physical Plant.