Vehicle Request Form

Complete this Vehicle Request Form in its entirety. You will receive an email confirmation after the vehicle has been reserved. You will pick up your vehicle keys at the Facilities Services Office between our office hours of Monday-Friday 7am-5pm.

NOTE: Student drivers are now asked to complete the Volunteer Agreement Form for insurance purposes to protect the driver.

Today's Date

Driver's Name

Will students be driving?

YesNo

Student drivers must provide copies of driver's license and auto insurance card. Student drivers must also complete a Volunteer Agreement form.

Departure Date

Departure Time

Departing From (if not Spearfish)

Return Date

Return Time

Destination

For SD BOR University:

FUND (xxxxxx-xxxxxx-xx) for SD BOR University OR MSA Center Code # (for State Agency)