MOTOR POOL RESERVATION FORM

Please use this form to request a vehicle from the Tusculum University Motor Pool.

If a conflict exists between the time you request and a previously scheduled reservation, you will be notified of the conflict. You will also receive a confirmation once the reservation has been made.

No reservation is confirmed until you receive a confirmation via email from the Facilities Department.

Required fields are marked with an asterisk: *

Vehicle Request Information
Today's Date:

Departure Date: [Click on calendar]
Departure Time: *

Arrival Date: [Click on calendar]
Arrival Time: *

Destination: *
Driver(s): *
Number of Passengers: *
Type of Vehicle: CAR VAN*

Requestor: *
Email Address: *

Department: *
Account Number: *

All drivers must have an approved Drivers License on file in Human Resources prior to driving any University vehicle
There will be a minimum fee of $50 if vehicle(s) are not free of debris and trash upon return, examples (food, bottles, fast food items, gum wrappers, clothing, etc.)
Vehicle(s) are to be returned with full tank of gas. $75 charge will apply if not returned with full tank.
Report accidents/mechanical problems to 423-636-7319 during working hours and 423-470-2710 after working hours.
In the event of vehicle accident always obtain a police report.
A 24hr notice is required for cancellation; $100 charge will apply if no cancellation is given.
Tusculum University is not responsible for personal belongings left in vehicles.

I have read the above information and have provided the information requested, and fully agree to these conditions.

Your Name: *

Please use this form to request a vehicle from the Tusculum University Motor Pool.

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