WIU Car Request
Please select "From Location (Campus)" first.
WIU Car Request - Macomb Campus
Transportation Services: (309) 298-1100
WIU Car Request - Quad Cities Campus
Quad Cities Campus Office: (309) 762-9481
From Location (Campus)
*
Macomb
Quad Cities
Contact Person
*
First Name
Last Name
Contact Phone
*
-
Area Code
Phone Number
Contact Email
*
example@wiu.edu
Trip Details
Date Needed
*
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Date Returning
*
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Driver
*
First Name
Last Name
Destination
*
Estimated Miles
*
(may be +/- due to actual usage)
Purpose of Trip
*
Limit 50 characters
Vehicle Type
*
Car
7P Minivan
Cargo Van
12P Van
15P Van
Mini-Bus
Vehicle Type
Compact Car ($32)
Full Size Car ($34)
7P Minivan ($54)
15P Van ($74)
# of People
*
Department
*
Billing & Approval
Account #
*
Fiscal Agent Name (who this request is approved by)
*
First Name
Last Name
Fiscal Agent Email
*
example@example.com
Car Request Email
example@example.com
Special Instructions or Requests
Submit
Should be Empty: