You must have JavaScript enabled to use this form. Current Requestor Information Complete Department Name Fund # Dept ID # Program # Project # CF1 CF2 Budget Contact Reservation Contact Destination(s) UMN Crookston UMN Duluth UMN Twin Cities, East Bank UMN Twin Cities, West Bank UMN Twin Cities, Saint Paul UMN Rochester Other… Enter other… Type of Vehicle Vehicle Fusion** - 5 person - $61/day Fusion** - 5 person - $61/day Pick-up - 6 person - $69/day Pick-up - 6 person - $69/day Van - 7 person - $61/day Van - 7 person - $61/day Van - 10 person - $72/day Van - 10 person - $72/day Golf cart - 2 seater with box - $15/day Golf cart - 2 seater with box - $15/day Golf cart - 4 seater - $20/day Golf cart - 4 seater - $20/day Golf cart - 6 seater - $25/day Golf cart - 6 seater - $25/day Departure & Return Information Departure Date/Time Departure Date/Time: Date Departure Date/Time: Time Return Date/Time Return Date/Time: Date Return Date/Time: Time Additional Notes Note: Only the following names are authorized to drive. All drivers must be at least nineteen (19) years of age. Driver # 1 Driver 1 Name First Last Driver #1 Cell Phone Driver #1 is a student Driver # 2 Driver 2 Name First Last Driver #2 Cell Phone Driver #2 is a student Driver # 3 Driver 3 Name First Last Driver #3 Cell Phone Driver #3 is a student Driver # 4 Driver 4 Name First Last Driver #4 Cell Phone Driver #4 is a student Authorization to rent and use University vehicles I hereby authorize the above named individual/organization to rent and use a University vehicle for the dates shown. I am fully aware of the University policies regarding vehicle use and will abide by those polices. Requestor Name Phone Number Email Address Terms of Agreement I have read and understand the Terms of Agreement Please review the terms of agreement. Leave this field blank