Van Request

Name of Group:         

Travel Dates:

Day of the Week (Check all days you will be needing the van):
Sunday   Monday   Tuesday   Wednesday  Thursday   Friday   Saturday

Usage Time: From    To    

Destination:

Person Responsible: 

Have all drivers passed the defensive driving test and turned their certificate in to the CLC office: Please Select Yes No

Phone:

Email Address:

Driver(s):

Drivers are responsible for:

• registering the trip in the van log kept in each unit.
• making certain that the van is cleaned out after each use.
• reporting any mechanical or other problems to the church office.
• always leaving the van with a full tank of fuel.
• checking off the pre and post trip procedure list and returning it to the office along with the keys promptly after use. 

It is not in the best interest of good upkeep and care to have food and drinks on the van.

Please fill up the van before returning it.

For office use only

Van Assigned:

Date Approved: