Vehicle Use

Information

User Registration

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Please complete the TITLE and DEPARTMENT field, in addition to the required fields marked with an (*).

If you are registering as a driver, providing a mobile phone number will help us to reach you regarding urgent matters.

If registering in order to request vehicles, proper approval for requestor permissions must be submitted by your supervisor to [email protected] or by calling 438-2038.

* = required field

Site Information

*Site you are registering for:

You may have the opportunity to request permission for additional sites after you are approved for your primary site. Request for additional permissions is done via the My Profile link.

User Information

Name (*Last, *First middle):

Salutation:

*Username:

*Login Password:

*Re-enter Password:

Fuel Card Information

Contact Information

Organization:

*Title:

*Department:

*Account-25 characters:

Address:

Address (contd).:

City:

State/Province:

Zip/Postal Code:

Country:

*Phone Preference:

*Business Phone: Ext:

Mobile Phone: Ext:

Other Phone: Ext:

Ext:

*Preferred Email:

*Work Email:

Personal Email:

Additional Information

*Supervisor Name:

*Supervisor Phone:

*Supervisor Email:

License Expiration Date:

License Issuing State/Province:

Additional Information - Reservations

Use the space below to provide:
1) A description of your motor pool requirements,
2) Any unique requirements you may have (e.g. always require cargo space, require wheelchair lift), and
3) Any other comments you may have for the motor pool staff.

Comments:

Please enter the text you see in the picture into the text box before submitting your registration