"Pool Vehicle Request Form" - Alabama

Pool Vehicle Request Form is a legal document that was released by the Alabama Department of Agriculture and Industries - a government authority operating within Alabama.

Form Details:

  • Released on February 1, 2012;
  • The latest edition currently provided by the Alabama Department of Agriculture and Industries;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Alabama Department of Agriculture and Industries.

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(Rev. February 2012)
OUT
Pool vehicle
-
“check
Request form
INSTRUCTIONS:
Complete the “Check OUT” Request form prior to your trip.
Upon completing the
requested information, give to General Services’ personnel for processing.
NOTE: You Must also Complete a “Check in” form On Page 2 that will be turned in upon the
completion of your trip.
(Complete Requested Information)
Employee Name
Employee Section
Date Vehicle to be Checked OUT
Date Vehicle to be Checked IN
Destination
Purpose of Travel
___________________________________
_____________________________
Employee Signature
Date
___________________________________
_____________________________
Supervisor’s Approval Signature
Date
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
TO BE COMPLETED BY GENERAL SERVICES:
S -
Tag # Assigned : __
_____________
Vehicle Year/Make/Model Assigned: _____________________________________
(Rev. February 2012)
OUT
Pool vehicle
-
“check
Request form
INSTRUCTIONS:
Complete the “Check OUT” Request form prior to your trip.
Upon completing the
requested information, give to General Services’ personnel for processing.
NOTE: You Must also Complete a “Check in” form On Page 2 that will be turned in upon the
completion of your trip.
(Complete Requested Information)
Employee Name
Employee Section
Date Vehicle to be Checked OUT
Date Vehicle to be Checked IN
Destination
Purpose of Travel
___________________________________
_____________________________
Employee Signature
Date
___________________________________
_____________________________
Supervisor’s Approval Signature
Date
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
TO BE COMPLETED BY GENERAL SERVICES:
S -
Tag # Assigned : __
_____________
Vehicle Year/Make/Model Assigned: _____________________________________
(Rev. February 2012)
IN
Pool vehicle
-
“check
RETURN This form, Vehicle keys, & Gas receipts
To General Services Upon completion of your trip
(Complete the Requested Information Below)
Employee Name
Tag #
Vehicle Year/Make/Model
Beginning Odometer Reading
Ending Odometer Reading
Upon Completion of your trip, please complete this requested information. Place a “check” to confirm completion.
______
I have filled up the vehicle with gasoline within one (1) mile of the Richard Beard Building – and turned in gas receipt (s) to
General Services. (Place gas receipts in plastic pouch)
______
I have parked the Vehicle in the “Pool Vehicle” Area
_______________________________________
__________________________________
Employee Signature
Date
ACCIDENT:
If you are involved in an
You MUST contact Police
You MUST report accident to Risk Management (334) 223-6120 or if After Hours 1-800-241-1172
You MUST report accident to General Services at (334) 240-7150 or
IF After Hours Call (334) 850-1685-Micheal Frazier or (334) 239-1117-George Baldwin
You MUST contact your supervisor
*********************************************************************************************************************
Please let us know if something on this vehicle needs special attention:
(Describe problem) ___________________________________________________________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
To Be Completed By General Services:
Problem noted above has been fixed __________________________________
_________________
(Signature)
(Date)
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