NJCU Public Safety Department

University Vehicle Request Form

  1. Vehicle operator must be an employee of the NJCU University and must attach a copy of their current driver's license to this request.
  2. Vehicle use is limited to "official NJCU business only."
  3. Vehicle use is subject to availability.  At least one (1) week in advance notice is required for scheduling. 
*Personal Information
This should include the information of the person requesting the vehicle.
 
*
First Name
Last Name
Department
Extension
*E-mail Address
A copy of this form will be sent to the e-mail address you provide.
*E-mail Address (of your Immediate Supervisor)
A copy of this form will be sent to your superviser's e-mail for approval.
*
 
*From
*To
Date Required
*
 
*From
*AM / PM
*To
*AM / PM
Time Required
*Destination Information
 
*
Location
City
State
*Driver Information
 
*
First Name
Last Name
Position / Job Title
Driver's License No.
No. of Passengers
If you encounter any difficulties or require assistance with this form, please contact the IT Help Desk.  Thank you.