Vehicle Use

Information

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Site Information

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You may have the opportunity to request permission for additional sites after you are approved for your primary site. Request for additional permissions is done via the My Profile link.

User Information

(*Last Name, *First Name, ):

Salutation:

*UW Username:

*Login Password:

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Contact Information

Title:

**Department:

Address:

Address (contd).:

City:

State/Province:

Zip/Postal Code:

Country:

*Phone Preference:

*Business Phone: Ext

Mobile Phone:

Fax:

*Preferred Email:

*UW Email:

Personal Email:

DOB:(MM/DD/YYYY)

Additional Information

*Supervisor Name:

*Supervisor Phone:

*Supervisor Email:

*License Expiration Date:(MM/DD/YYYY)

*License Issuing State/Province:

Any driving restrictions? Yes No

If restrictions, please explain:

Driving Status:

Person ID:

W#:

Use the space below to provide:
1) A description of your motor pool requirements,
2) Any unique requirements you may have (e.g. Always require cargo space, require wheelchair lift), and
3) Any other comments you may have for the Car Rental Services staff.

Comments:

Please enter the text you see in the picture into the text box before submitting your registration.

University of Wyoming

Car Rental Services
(307) 766-3229
1602 E. Spring Creek Dr.

Fleet Maintenance Services
(307) 766-3349
2102 S. 15th St.