Van Rental Request Van Rental Request COVID-19 Update Concerning Van UseCAHNR vans may not be available if requested with short-notice (i.e. day-of) therefore we ask that you please try to schedule a date and time as far in advance as possible. No more than 1 driver and 2 additional people are allowed in the van, one student per row of seats and masks need to be worn at all times. Windows will preferably be open. This will not allow for many students in the vans, so please plan accordingly. Both vans are equipped with sanitizing supplies and it is the responsibility of the driver to sanitize before and after use.Daily Rental and Mileage FeesThe Borrower’s department agrees to pay a mileage fee at the rate of $30.00/day, $15.00/half-day and 45¢ per mile. Van keys are to be picked up from the Office of Academic Programs, W.B. Young Bldg., Room 206. Most requests are honored on a first-come, first-served basis. The Office of Academic Programs reserves the right to determine the appropriate use of the vans. This form does not guarantee your request. If you have questions or need assistance, please call the Office of Academic Programs at (860) 486-2919 or email CAHNRAcademics@uconn.edu. Our office hours are Monday through Friday, 8 am to 5 pm. Number of vans requesting (please check)* One van Two vans Each van seats a driver and 6 passengers.Requested Pick Up Date* MM slash DD slash YYYY Requested Pick Up Time* : Hours Minutes AM PM Return Date* MM slash DD slash YYYY Return Time* : Hours Minutes AM PM Purpose of Vehicle Use*If requesting vans in advance for class field trips during the semester, please send additional dates and times to CAHNRAcademics@uconn.edu.Drivers and Contact InformationA second driver may be designated for long trips.Driver's Name* First Last Driver's Phone Number*Driver's Email Address* Driver's Valid License Number* License Number Expiration Date State Additional Driver's Contact Information (optional) Name Phone Number Email Address Valid Driver's License for Additional Driver License Number Expiration Date State CAHNR Department Name*Allied Health SciencesAnimal ScienceAgricultural and Resource EconomicsKinesiologyNatural Resources and the EnvironmentNutritional SciencesPathobiology and Veterinary SciencePlant Science and Landscape ArchitectureOther - CAHNR Student OrganizationOther - UConn DepartmentOrganization or Department Name (if Other) Department Contact Person Name Phone Number U-Box For student drivers, this is the person authorizing you to use the van.Department KFS Account Number* Gasoline Purchase*Motor Pool located at 9 Discovery Drive is preferred for purchasing gasoline using the fob attached to the van key. In order to purchase gas at a gas station a Wright Express gas card is provided. Driver's must know their 6-digit employee number. I know my employee number I do not have an employee number CAHNR Van Rental Terms & ConditionsVehicle Use Agreement*I understand and agree that use of CAHNR's vehicles shall be exclusively for the fulfillment of University business that I am authorized to conduct; I am not to use the vehicle for other than the purpose stated above; only the authorized driver may operate this vehicle. I have a valid, non-conditional driver’s license and my license is not currently under suspension. I further agree to each of the bulleted points hereafter in the CAHNR Vehicle Rental Terms & Conditions. I Agree Vehicle Rental Terms and ConditionsPhoneThis field is for validation purposes and should be left unchanged.