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Church Van/ Bus Usage
Request Form
Date of Request:____________________________________
Name of Person or Group Requesting Vehicle:_________________________________
Contact Phone #_______________________________
Please list a short description of the vehicle use and approximate mileage:
________________________________________________________________________
________________________________________________________________________
Is this a Re-occurring use?____________________________
The driver of the van/bus must hold a valid Driver’s License and the Church bus driver
must hold a valid Commercial License. For insurance purposes, please list the person
who will be driving the van/bus if your group is providing the driver.
____________________________________ ________________________
Driver NCDL#
Please return the van/bus in clean condition and notify a staff person if there are
mechanical problems with the vehicle. Please turn in fuel receipts if reimbursement is
desired.
Keys may be checked out and returned in the church office during office hours or
arrangements can be made for after hours pick-up.
__________________ __________________
Key # Issued Date Returned

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Vehicle use request

  • 1. Church Van/ Bus Usage Request Form Date of Request:____________________________________ Name of Person or Group Requesting Vehicle:_________________________________ Contact Phone #_______________________________ Please list a short description of the vehicle use and approximate mileage: ________________________________________________________________________ ________________________________________________________________________ Is this a Re-occurring use?____________________________ The driver of the van/bus must hold a valid Driver’s License and the Church bus driver must hold a valid Commercial License. For insurance purposes, please list the person who will be driving the van/bus if your group is providing the driver. ____________________________________ ________________________ Driver NCDL# Please return the van/bus in clean condition and notify a staff person if there are mechanical problems with the vehicle. Please turn in fuel receipts if reimbursement is desired. Keys may be checked out and returned in the church office during office hours or arrangements can be made for after hours pick-up. __________________ __________________ Key # Issued Date Returned