Vehicle Reservation Request Form

Department Contact

1600 Harden Street
Columbia, SC 29204

803-253-5000

Office Hours 9:00AM - 5:00PM

Trip and Vehicle Information
Distance Roundtrip*

Estimated miles from Benedict College
For Athletic Team/Student Group?*
Travel Authorization Number*

(If you don't have an authorization number, please call ext. 0000)
Number of Passengers
Pick-up Date*
MM slash DD slash YYYY
Pick-up Time*

: Hours

Minutes

AM/PM

Must be at least 24 hours from now
Return Date*
MM slash DD slash YYYY
Return Time*

: Hours

Minutes

AM/PM
Number of Days Requesting*
Type of Vehicle Requesting*
Estimated Total
Price: $0.00
Add GPS Unit?
- Yes
Estimated Grand Total Charges
$0.00

Driver Information
Driver 1 Name*
First Last
Driver 1 Phone
Driver 1 License Number*
Driver 1 License State*
State
Driver 1 License Expiration Date*
MM slash DD slash YYYY
Driver 1 Signature*
Driver 2 Name
First Last
Driver 2 Phone
Driver 2 License Number
Driver 2 License State
State
Driver 2 License Expiration Date
MM slash DD slash YYYY
Driver 2 Travel Authorization Number

(If you don't have an authorization number, please call ext. 0000)
Driver 2 Signature