• Current Schedule
• XTERRA Reservation Form
• ISUZU
  Reservation Form
• Vehicle Use Policy and Procedures

Contact:
Jay Slivkoff

Astronomy Technician
Dept. of Physics & Astronomy

Telephone:
(808) 933-3222


Email:
slivkoff@hawaii.edu

Physics & Astronomy Vehicle Reservation Form

This form is to request a reservation to use the Physics & Astronomy 5 passenger Nissan XTERRA. Please read the newly modified Vehicle Use Policy and Procedures before applying for the use of this vehicle.

View the current schedule for vehicle availability.

All fields are required.

Requestor Name:
E-mail Address:
Requester's UHH Department:
Name of Department or UHH Grant if other than Above:
Department Chair or UHH Grant P-I:
Replacement Vehicle Approval:	Does the Requestor's Dept. Chair or UHH Grant P-I approve of the purchase of a replacement vehicle in the event of debilitating damage to the XTERRA during use? Yes No Refer to "Use Priorities" section of the Vehicle Use Policy and Procedures.
Departure (Check-out):	Date: Time:
Return (Check-in):	Date: Time:
Driver's Name:
Driver's Position:	UHH Faculty UHH Staff UHH Student Employee
Destination:
Number of people in Vehicle:	(must be less than 5)
Function or UHH Class:
Four-Wheel Drive:	Does the road require use of a 4WD vehicle? Yes No
Function Category:	Scheduled Class Faculty Research with Student(s) Telescope Maintenance Official UHH Club with Faculty Advisor Any UHH-related function requiring 4WD Other UHH-related function (specify below)
Description:	Describe the UHH activity, the destination, the expected road conditions, and list all UH, and non-UH affiliated passengers. Include whether each person is a UHH employee. If not an employee, have them sign a liability waiver.