Ground Transportation Request

For requesting vehicles from both Motor Pool and outside companies. Due a minimum of 2 weeks prior to trip. Note: UD Motor Pool rentals should be pre-arranged via phone. This form allows us to confirm pre-arranged Motor Pool rentals only.

Symbol Key: *Required Information, ! Error

Have vehicle(s) been pre-arranged with UD Motor Pool?
Club name:
Travel coordinator:
Phone:  (use format nnn-nnnn)
E-mail: (use format name@service.com)
Destination: Provide city & state.
Date of departure:  (use format mm/dd/yyyy)
Departure place:
Departure time:
Date of return:  (use format mm/dd/yyyy)
Departure time for return trip:
Estimated time of return to Newark:
Vehicle number(s) and type(s): sedan
mini van
large van (driver must be certified)
SUV
school bus
charter bus
Driver information:

This information is required for cars, vans, & SUVs. Request will be rejected without at least 1 driver per vehicle per 125 miles. You must provide a list of additional driver(s), 1 per each 125 miles.

Driver name License # State
Additional driver information:  

Additional information needed for busses:
Approximate number of trips while there:
Approximate mileage of trips while there:

I understand bus companies often required a trip itinerary, and I agree to provide that as requested
I agree to the statement above:
 
Comments:  
 
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