University Vehicle Purchase
Request Form

Vehicle Use Information

Requested Vehicle Type

When is the Vehicle Needed?

mm/dd/yyyy

Justification

Business Purpose Statement (1-4 Sentences)

Please briefly explain how the vehicle will be used, and how it will support/advance the goals and objectives of the university. See Business Purpose Guide for reference.

Anticipated Number of Miles Vehicle Will be Driven Annually

Where Will this Vehicle Park on Campus?

Funding

Requesting Department Name

Department Code/ Organization ID

Account Number

Budgeted Amount for Vehicle

Point of Contact Information

Point of Contact Name for Purchase

Point of Contact Email Address

Additional Information

Provide Any Additional Information or Requests

Send me a copy of my responses