Van Usage Request Form

15-Passenger Van Usage Request Form

All fields must be completed.

Submission of this form is not a guarantee of a reservation. You will be notified by email with your reservation status.

Important Spotted Lanternfly Information

If any part of your travel will take place within the Spotted Lanternfly Quarantine Zone, you are required to take and pass the Spotted Lanternfly Training before you may reserve the van.

Spotted Lanternfly Quarantine Zone Map and FAQ

Spotted Lanternfly Training

Will any part of your travel take place within the Spotted Lanternfly Quarantine Zone? *

Yes

See the Spotted Lanternfly Quarantine Zone Map and FAQ linked above to determine if your route will take you through the Quarantine Zone.

Have you taken and passed the Spotted Lanternfly Training? *

Yes

Unfortunately, you may not reserve the van at this time.

You must first take and pass the Spotted Lanternfly Training.

Travel cannot be approved until you pass the training and the certificate is on file with Business Services.

After you take and pass the training, you may proceed with reserving the van.

First Name *

Last Name *

Your Email *

Phone *

Budget Administrator Name *

Budget Administrator Email *

Budget Number, Fund, and Cost Center to Charge *

Reservation Start Date *

Month

Day

Year

Reservation Start Time *

Hour

Minute

Reservation End Date *

Month

Day

Year

Reservation End Time *

Hour

Minute

Detailed Purpose of Use *

Number of Passengers *

Have you taken and passed the Large Passenger Van Training? *

Yes

Van Usage Request Form

15-Passenger Van Usage Request Form

Important Spotted Lanternfly Information

Van Usage Links

Penn State DuBois