UF&S::FORMS::Vehicle Acquisition and Approval Form

Fleet Services

Vehicle Acquisition and Approval Form

Please fill out all blanks and submit. The Fleet Manager will receive this request and make his/her recommendations.

CONTACT INFORMATION

First Name:

Last Name:

Email Address:

Phone Number:

Department Requesting Vehicle:

URFinancials FAO:

Has a business plan for the vehicle been approved?

Yes

Is the vehicle part of an approved capital budget?

Yes

New Additional Vehicle

Replacement Vehicle

Requirements for New/Replacement Vehicle

What will the vehicle be utilized for (describe the general duties, type of material transported, etc.)?

How many miles driven annually (approx.)?

Approximate number of passengers (excluding Driver):

Special requirements (in-vehicle storage space, capacity for equipment/supplies, special attachments):

Preferred vehicle type (sedan, small cross-over, truck, utility vehicle, etc.)?

Requested date for delivery of replacement vehicle:

Are all of your department’s drivers currently enrolled in the Safer Driver and LENS program?

Yes

Additional information to be considered:

The Safer Driver program is mandatory for all drivers of University owned or leased vehicles. The program is a combination of supervisor/program manager involvement, training, driver qualifications, and driver participation. The LENS (License Event Notification Service) program enables monitoring of the New York State license records of employees who drive University of Rochester vehicles. University Facilities oversees both programs.
Additional details can be found at: Safer Driver Program LENS Program

University Facilities and Services

Facilities and Services

Vehicle Acquisition and Approval Form

CONTACT INFORMATION

Vehicle being Replaced(information on vehicle to be replaced)

Requirements for New/Replacement Vehicle