Dixie State University :: Facilities Management :: Fleet Request Vehicle Rental Form

Fleet Rental Request Form

If you are human, leave this field blank.

First Name *

Last Name *

Email Address *

Dixie ID *

Index Code *

Travel Authorization Number (TA) *

Number of Individuals in Group *

Type of Vehicle *

passengers: 1–4
cost: $0.50 per mile

passengers: 4–7
cost: $0.50 per mile

passengers: 7–9
cost: $0.60 per mile

Destination *

Departure Date (Office opens at 8am) *

If you need to leave earlier be sure to plan accordingly

Departure Time *

Return Date *

Return Time

Vehicle Specifications/Additional Comments

Fleet Vehicle Rental Request