You are on page 1of 1

TRA.C001.01.

2
LORMA COLLEGES
Carlatan, City of San Fernando, La Union
VEHICLE TRIP REQUEST
(To be accomplished in triplicate)
Date of Trip:______________ Time of Trip: ________________ No. of Passengers: ________________
Destination: _____________________________________________________________________________
Purpose: ________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Requested by: _________________________ Date: __________ Cellphone/office no.: __________________
Printed Name and Signature

Requesting Department: _______________________ Department Head: ____________________________

To be filled in by Head of Transportation Department:


Comments: _______________________________________________________________________________
_________________________________________________________________________________________
________________________ _____________________________________ _________________________
Vehicle to be used Assigned Driver Head, Transportation Dept.
Approved by: _______________________________________
Executive Director
Time of Departure: ________________________ Time of Arrival: ______________________________
Confirmed by: ____________________________ Acknowledged by: ____________________________
Driver Passenger
Note: Follow-up request after one (1) day if approved.

------------------------------------------------------------------------------
TRA.C001.01.2
LORMA COLLEGES
Carlatan, City of San Fernando, La Union
VEHICLE TRIP REQUEST
(To be accomplished in triplicate)
Date of Trip:______________ Time of Trip: ________________ No. of Passengers: ________________
Destination: _____________________________________________________________________________
Purpose: ________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Requested by: _________________________ Date: __________ Cellphone/office no.: __________________
Printed Name and Signature

Requesting Department: _______________________ Department Head: ____________________________

To be filled in by Head of Transportation Department:


Comments: _______________________________________________________________________________
_________________________________________________________________________________________
________________________ _____________________________________ _________________________
Vehicle to be used Assigned Driver Head, Transportation Dept.
Approved by: _______________________________________
Executive Director
Time of Departure: ________________________ Time of Arrival: ______________________________
Confirmed by: ____________________________ Acknowledged by: ____________________________
Driver Passenger
Note: Follow-up request after one (1) day if approved.

You might also like