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

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

Drop your files here

Travel Information

Destination

Estimated R/T Miles

Departure Date

mm/dd/yyyy

Vehicle Pick-Up Time

Return Date

mm/dd/yyyy

Vehicle Return Time

Detailed University Business Purpose

Send me a copy of my responses

Report Abuse