Vehicle Rental Form

Vehicle Rental Request Form

Western Oregon University Facilities Services Contact Facilities Services with questions: Email: Facilitieshelp@mail.wou.edu Phone: 503-838-8239

Contact Information
Requestor Name*
Requestor Phone Number*
Requestor Email*
Department / Organization Name*
Index Code to Charge*
Authorized Driver
PLEASE NOTE: Drivers must be authorized by Campus Public Safety to drive WOU vehicles prior to requesting a vehicle.
Consent*
I agree that the stated authorized driver has completed WOU Campus Public Safety's Driver Authorization Form and been approved
Driver's must be authorized by Campus Public Safety to drive WOU vehicles prior to requesting a vehicle.

The form must be properly filled out and sent to WOU Campus Public Safety. They will then complete a DMV record check, and driving authorization will be sent (takes up to 5 days).
Note that if you have an out-state driver's license, that you will need to include the driving record from your state's DMV with the form.

The forms are available on Campus Public Safety's website wou.edu/safety, Facilities Services Forms, or https://cdn.wou.edu/safety/files/2020/06/Driver-Authorization-Form-Fillable.pdf.
Authorized Driver Name
First Last
Authorized Driver's V#
Authorized Driver's Phone Number
Authorized Driver's Email
Department / Organization Name
Vehicle Request
PLEASE NOTE: Vehicles are available on a first-come, first-served basis and are only available when not being used for Facilities Services business. After we receive your request, someone from Facilities Services will contact you to confirm availability.
Vehicle Requested
Will vehicle be use for WOU related activities?*
- Yes
- No
Will vehicle be driven off of campus?*
- Yes
- No
If so, please list destination.
Date and Time Needed
PLEASE NOTE: Vehicle pick-up is only scheduled during Facilities Services business hours (Monday-Friday 7:30am-4:40pm). You are responsible for making arrangements with Public Safety to return the vehicle after Facilities Services hours or on weekends.
Pick-up Date*
MM slash DD slash YYYY
Pick-up Time

: Hours

Minutes

AM/PM
Return Date*
MM slash DD slash YYYY
Return Time

: Hours

Minutes

AM/PM
Please describe any additional notes, questions, or comments in the box below:
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Vehicle Rental Form

Vehicle Rental Request Form

Contact Information

Authorized Driver

Vehicle Request

Date and Time Needed

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