Exception To Faculty Approval Request

Name of person requesting exception
Department or area
Campus
Telephone
Email
Request
Anticipated number of drivers
Will all drivers be 21 or over? Yes    No
Further explanation if any driver(s)
will be under 21 years of age.
(Required if previous answer is yes.)
Destination(s) or examples of
destinations
Will passengers be included? Yes    No
Comments on passengers
(Required if previous answer is yes.)
Anticipated number of trips per
calendar year
Additional comments
    

Items in red are required.