Online Rental Form

Please complete ALL fields below.


E-Mail Address (user@domain.entity):

Driver's Last Name:     First Name:   

Department:

Contact Information (if other than driver):  Last Name:     First Name:     

Phone #: () -

Office Hours are Monday-Friday 8:00 A.M.-4:00 P.M.  Weekend or after hour rentals must have keys picked up within our office hours.  You are charged according to time the vehicle is picked up. 

Key Pickup (m/d/yyyy)://

Date Leaving (m/d/yyyy)://    Time (hh:mm) : AM PM

Date Returning (m/d/yyyy): / /     Time (hh:mm) : AM PM

Destination:

Purpose of Rental Vehicle:

Compact Car
Midsize Car
Full-size Car
Minivan
8-Passenger Van
12-Passenger Van

Click here to see vehicle charges and rates of automobiles.

Account Number:
   Entity              Department      Subcode      Purpose             Project           Reference         Future
                              

Note: Rentals must be accompanied by a business travel request which can be obtained by the department administrator.  Students can obtain an account number and business travel request through the Student Organization Resource Center (SORC).  For full explanation of restrictions and guidelines please click here