Staff Vehicle Request Form
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Staff Vehicle Request Form
1.
School Building:
*
--Please Select--
Admin
BHS
MMS
Camelot
Medary
Hilcrest
Dakota Prairie
2.
Check Applicable Vehicle:
*
Bus
9 Person Suburban
6 Person Van
4 Person Car
Multiple Buses
3.
I have read the Vehicle Check Out Form
*
I have read
4.
Requested By:
*
5.
Destination:
6.
Person in Charge:
*
7.
Departure Date:
*
mm/dd/yyyy
8.
Departure Time:
*
9.
Return Date:
*
mm/dd/yyyy
10.
Return Time:
*
11.
Total Number of Persons:
12.
Where bus should load students:
13.
Other Considerations:
14.
I have verified this with my building administrator.
*
I have.