Vehicle Use

Information

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* = required field

Site Information

*Site you are registering for:

DAS Motorpool

You may have the opportunity to request permission for additional sites after you are approved for your primary site. Request for additional permissions is done via the My Profile link.

User Information

(*Last Name, *First Name,

Middle Name):

Salutation:

*Username:

*Login Password:

*Re-enter Password:

Contact Information

*Organization:

*Title:

*Agency:

eDAS code:

*Address:

City:

State/Province:

Zip/Postal Code:

*Phone Preference:

*Business Phone: Ext

Mobile Phone:

Fax:

Preferred Email:

*Work Email:

Additional Information

*Supervisor Name:

Supervisor Phone:

Supervisor Email:

Employee Domicile:

A valid Driver's License is required to reserve motor pool vehicles. Please complete and submit the Driver's License Verification Form. Your driver's license will be verified before your new account is approved.

Use the space below to provide:

A description of your motor pool requirements
Any unique requirements you may have (e.g. always require cargo space, require wheelchair lift)
Any other comments you may have for the motor pool staff.

Comments:

Please enter the text you see in the picture into the text box before submitting your registration.

DAS Motorpool

515-281-5123

[email protected]