Rental Registration Form

Vehicle Rental Registration Form

Employees must complete this form the first time they request a City vehicle. Please be sure to include the desired date and time for the vehicle reservation in your email.

Name:

Email:

Phone Number:

Driver's License Number:

State:

License Expiration Date:

Motor Center Training Completed:

YesNo

If yes, date:

Defensive Driving Training Completed:

YesNo

If yes, date:

Agency Where Defensive Driving Training Taken:

Employee ID Number:

Agency or Department:

Agency Address:

Dept. Number:

Supervisor Name:

Supervisor Phone Number:

Agency Fund-Org :

Vehicle Pick Up Date:

Vehicle Pick Up Time:

Vehicle Return Date:

Vehicle Return Time:

Comments or Special Instructions:

Required training - New renters must complete a 15 minute vehicle operation training prior to renting a vehicle. New renters must send an e-mail to the motor center to schedule the training. Training is offered at 10:00 am and 1:00 pm. Please list a couple of dates that you are available. The date and time will be confirmed via e-mail from the Motor Center.

__________________________________________

Occasionally the demand for vehicles exceeds the supply. If your request cannot be accommodated, we will contact you via email.

Agreement

By submitting and signing this document I certify that:

I have a current valid Colorado Driver's License and Official City I.D.
I have my department's permission to rent this vehicle from the Motor Center.
I understand that it is my responsibility to immediately report all accidents, no matter how minor, to the Motor Center Supervisor at (720) 865-6880 and Public Works Safety at (303) 446-3544.
I understand that it is my responsibility to immediately report to the Motor Center Supervisor at (720) 865-6880, any vehicle breakdown I may experience while this vehicle is in my possession.

Submit