Date of Request:
Name of Person (s) to Travel:
Contact office number/cell number:
Give date and place of meeting, name of organization, and special purpose for making trip:
Vehicle Type requesting:
SAFHS Vehicle:
Date (s) of Travel:
Vehicle pick up date and time prior to departure:
Hour of Departure: AM PM Hour of Return: AM PM
Please utilize cost data at bottom to enter approximate cost of Trip in this section ***When calculating UAPB Charter Bus round trip mileage, it will be from UAPB Campus to your designation and back to UAPB Campus times $4.00 per mile *** *Include room and board, if necessary for the requested CDL driver for overnight stay events. *
Price Schedule Vehicle Rental: All vehicles (Van, Truck, SW, SUV, Car) $50.00 per day $0.50 per mile
CDL Driver will cost $15.00 per hour driving time for vans, plus room and board, if necessary. UAPB Charter Buses: First Day $700 per trip. This will handle the cost for Bus & CDL driver. Additional days out with the Charter bus will be at $350.00 per day Vehicle request should be submitted (2) weeks prior to the date of travel. SAFHS personnel must submit request at least (3) days prior to date of travel to guarantee availability of SAFHS vehicles. Mpd:dmbsr 6/3/202