Vehicle/Driver Request Form
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Date of Use *
MM
/
DD
/
YYYY
Date of Request *
MM
/
DD
/
YYYY
Group Requesting Use *
Person Responsible *
Phone Number
Destination *
Reason for Use *
Fuel : Charge On *
Required
Amount($)
Budget Name *
Odometer Reading
End of Trip
Beginning of Trip *
Total Miles *
MM
/
DD
/
YYYY
Drivers
Name
Driver License Number
Name
Driver License Number
Name
Driver License Number
Principal Driver Name
Date
MM
/
DD
/
YYYY
Read Carefully
Check with office 24 hours before trip to obtain keys.
The vehicle must be returned to the parking lot for security reasons.
The vehicle must be returned clean.
Problems must be reported to he office immediately.
Maintenance Needs
Please list any repair needs or conditions to be corrected which you observed on the trip.
Request Approved By *
Date *
MM
/
DD
/
YYYY
For more information,
OOH Training Department : 443.805.8927  
OOH Main Office 1.855.9. OOHHOPE (1.855.966.4467)
PW@OrganiationOfHope.org
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