Budget Vehicle Rental Request Form

This form should be used by Student Affairs staff members and student groups.

Rental vehicles must be requested at least 5 business days prior to the date of use.

Student drivers must be at least 20 years of age, and must be accompanied by a member of the Cornell faculty or staff, when reasonable.

Requested by (for student groups this must be your advisor): *

Email address (if you wish to receive a copy of this form): *

Department/Organization: *

Vehicle number one: *

Vehicle number two:

Vehicle number three:

Number of People Traveling: *

Departure Date: *

Return Date: *

Departure Time: *

Return Time: *

Destination: *

Backseat removed in one of the vehicles (available in some 15-passenger vans): * yes no

Please list all drivers: *

List all persons who will be driving the vehicle. Drivers must be 20 years of age and meet the College’s driver eligibility requirements. You must also provide a copy of their driver’s license. Drivers must take and pass the Alert Driving Test. For a link to this online test, please contact Rachel Krug in the Business Office.

Department or Student Group to be charged: *

Account to be charged: *

Once you have submitted this form a copy will go to the individual who is requesting the vehicle. You will get a confirmation e-mail that the request has been confirmed by Budget and instructions on where and when to pick up your vehicle.

* Required Field

Student group members, please remember the following:

Students may request use of rental vehicles only with the sponsorship and financial backing of a student organization recognized and funded by Student Senate.
The request form must be filled out by the group's advisor.
A Student Activities Travel Plan must be completed with an accurate roster. If this form is not complete, the student organization will not be able to utilize rental vehicles.

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Budget Vehicle Rental Request Form

This form should be used by Student Affairs staff members and student groups.

Student group members, please remember the following:

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