All form information requested (unless marked optional)
must be provided or this vehicle request may not be accepted.
Please be advised that upon submitting this form, the above information
will be transmitted via an insecure Internet connection to the LSSU Motor Pool
and your Department Supervisor. Although the Motor Pool will
attempt to maintain privacy of your request within their own department,
it cannot be guaranteed that your transmission will not become public record,
subject to public release and inspection.
All drivers will need a valid drivers license approved by the
Motor Pool before obtaining keys for the vehicle. If you have not submitted
your license number or an out of state MVR report to the Motor Pool within the last
12 months, please call Ron Raffaele at extension 2617,
or e-mail the Motor Pool with your number.
After submitting this form, if you do not receive confirmation
from the Motor Pool within a reasonable amount of time, please contact Ron Raffaele
at extension 2617. The Motor Pool will confirm your vehicle request
via telephone or email.