Vehicle Reservation Form

With so many options, picking a major can be difficult. Let us help you find yours!

The university has a Toyota Camry that may be requested for local trips within a 30-mile radius. This is the preferred method of travel while conducting Regent business locally and ensures you are covered by Regent’s insurance. Please review the Driving Policy before submitting this form.

Name(Required)

First Last

Email Address(Required)

Department Name or Student Organization(Required)

Department Head or Faculty Advisor(Required)

Telephone Extension(Required)

Mail Drop Address(Required)

Key Pickup Date(Required)

Key Pickup Time(Required)

Key Return Date(Required)

Key Return Time(Required)

Vehicle Pickup Date(Required)

Vehicle Pickup Time(Required)

Vehicle Return Date(Required)

Vehicle Return Time(Required)

Destination(Required)

Driver's Name(Required)

First Last

Additional Comments

This form will be routed to Administrative Services, phone number 757.352.4008. You will receive a written confirmation of your vehicle reservation.

Driving histories of all drivers must be approved.
Click here to complete the Driver Authorization Form.
Upon receipt of this form we will check your driving history and confirm your status.

Phone

This field is for validation purposes and should be left unchanged.