Geosciences Motor Pool Form

Operator Information

Operator Name*

Operator Email*

Operator Phone #*

Phone

Account Number*

Course Number*

*Put N/A if not for a GEOS course field trip

Has the operator submitted a travel authorization?*

*Travel authorizations are required for all UA business trips.

Yes

No

Vehicle Information

Number of Vehicles*

Optional Information

Please provide details if you are requesting multiple vehicles in this section.

Passenger Information

*Please provide number of travelers

# of Student Employee Travelers

# of Non-Employee UA Student Travelers

*Please attach course class list (below)

# of Faculty/Staff Employee Travelers

# of Non-UA travelers

*If there are non-UA travelers a list of passengers and memo are required and should be submitted with this request. The memo should indicate the reason(s) for non-UA travelers traveling in UA owned vehicles.

Non-UA traveler info and/or course class list

*Please upload information here

Drag and drop files here or

Travel Information

Destination*

Estimated R/T Miles*

Departure Date*

Vehicle Pick-Up Time*

Return Date*

Vehicle Return Time*

Detailed University Business Purpose*

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