University of Southern Indiana

Vehicle Request Form

Vehicle Request Form

Request Details
Once your request has been reviewed, you will receive confirmation via email. You are not guaranteed a vehicle reservation unless you have received notification.

To select multiple, hold down the Ctrl key.

Trip Information


Ex: 8:00 AM



If applicable

If applicable
Driver Information

Contact Information
You must provide a faculty/staff office phone number.

Ex: 888-888-8888

Emergency Information
For extended trips, please complete emergency information.

Ex: 888-888-8888
Additional Information


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Need assistance with this form?

Contact Dr. Zane Mitchell


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