Harlingen Consolidated Independent School District Vehicle Request

Harlingen Consolidated Independent School District Vehicle Request

Co-Curricular / Extracurricular
To
Date

MonthDayYear
Date
From
Sponsor's Name
Phone Number
Sponsor's Phone Number
Requested By

CampusActivity
Type of Vehicle Required

SuburbanMicroBirdBox TruckOther
Amount
Number of Vehicles Required
Trailer Required

YesNo
Destination

Address

Place

CityState / Province

Postal / Zip Code
Departure

MonthDayYear
Date
Departure

Time Minutes

AM/PM Option
Return

MonthDayYear
Date
Return

Time Minu Minutes

AM/PM Option
DRIVERS (MUST BE HCISD EMPLOYEES)*

First NameMiddle NameLast Name
D.O.B*

MonthDayYear
Driver License Number*
DRIVERS (MUST BE HCISD EMPLOYEES)

First NameMiddle NameLast Name
D.O.B

MonthDayYear
Driver License Number
BEFORE SUBMITTING THIS FORM PLEASE INSURE THE FOLLOWING ITEMS HAVE BEEN VERIFIED AND CLEARED:
SUFFICENT FUNDS HAVE BEEN BUDGETED TO COVER THE ANTICIPATED EXPENDITURE FOR THE ENTIRE TRIP.
FUND / ACCOUNT CODE*
ENTIRE ACCOUNT # IS REQUIRED
APPROPIATE LEVEL OF AUTHORIZATION HAS BEEN GRANTED FOR THE INTENT OF THIS TRIP
SIGNATURE OF AUTHORIZING DIRECTOR/ PRINCIPAL

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WRITTEN REQUEST FOR SUBURBANS ARE ON A FIRST COME FIRST SERVE BASIS

A COPY OF DRIVERS LICENSE MUST BE SUBMITTED AT LEAST A MONTH IN ADVANCE FOR PROCESSING

In the event of my license not cleared prior to request of suburban I Driver's Sign. verify the fact that I have a clear license and do not show any traffic violations for the past 5 years.
PLEASE ATTACH DRIVER LICENCE HERE

Cancelof
Should be Empty:

Harlingen Consolidated Independent School District Vehicle Request

BEFORE SUBMITTING THIS FORM PLEASE INSURE THE FOLLOWING ITEMS HAVE BEEN VERIFIED AND CLEARED: