Overhead Record Bus Captain / Chauffeur*CHOOSE ONE BELOW:1 New or Unlisted ChauffeurBarbosa, Carol - ID#3-CarolBarBarbosa, Sammy - ID#264-SammyBaumbach, Joseph – ID#484-JBaumbBeckett, Craig – ID#518-CraigBBrown, Tim – ID#429-TimBroCook, Mike – ID#503-MRCookDePremo, Margaret - ID#301-MDePreDierschow, Gerald - ID#342-GeralEthridge, Wesley – ID#495-WEthriFerreira, Andre- ID#4-AndreFauber, James - ID#123-JamesFFerguson, Barbara – ID#497-BFerguFerreira, Andre - ID#4-AndreFranklin, Chris – ID#525-CFrankHairston, Carl – ID#492-CHairsHall, Sheryl - ID#332-SherHaHamblen, Tom – ID#529-THamblHayes, Steve – ID#509-SHayesHickman, Jim – ID#266-JHickmHill, Nathan – ID#504-NaHillHouff, David- ID#512-DHouffJenkins, Luther - ID#458-LutheJJohnson, Brian - ID#479-BJohnsLeFon, David - ID#283-DLefonLeFon, Conni – ID#517-ConniLMassie, Jerry - ID#16-JerryMaMcGraw, Billy – ID#527-BillyMMcNeilus, Tom – ID#506-TMcNeiPatterson, Dennis - ID#209-DennisPrice, Richard – ID#526-RPriceShifflett, Shawna – ID#494-ShawnaShuff, Robert – ID#491-RShuffSlattery, Galen- ID#149-GalenSSmith, Stacey – ID#528-SSmithSmith, Tim – ID#000000Taylor, Stephen - ID#116-StepheThomas, Terrence – ID#522-TerrThThompson, Vaden- ID#523-VadenTWebb, Kim- ID#524-KAWebbWhite, Bill – ID#502-BHWhitWilliams, Isabella – ID#521-IsabeWWilson, Larry – ID#467-LWilsoWorley, Jamie – ID#499-JWorleYoung, Jackie – ID#488-JYoungEnter your email for your copy. Overhead Request One For This DayMarket* Charlottesville Lexington Norfolk Richmond Ohio Other (Note in long description) Start Date* MM slash DD slash YYYYStart Time* : Hours Minutes AM PM AM/PMEnd Date* MM slash DD slash YYYYEnd Time* : Hours Minutes AM PM AM/PMShort Description*Choose One Below:Clean a Vehicle.Complete Traveller Paperwork.Dispatch Rides.Do Office Maintenance.Do Office Paperwork.Give/Receive Training.Make Company Calls.Pickup Office Supplies.Pickup Parts for Shop.Repair a Vehicle.Transfer Rental Vehicle.Transfer Vehicle to/from Repair Shop.Transfer Vehicle to/from Terminal.Travel to/from Charlottesville.Travel to/from Lexington.Travel to/from Norfolk.Travel to/from Richmond.Other (Note in long description).More Detailed DescrptionVehicle Involved (Note mileage in long description)Choose One Below:1106 Van Ford1414 Van Ford1415 Van Ford2004 Minibus2103 Minibus2104 Minibus2418 Minibus2419 Minibus2420 Minibus2421 Minibus3205 Minibus3206 Minibus344 Sedan Lincoln5101 Bus Prevost5401 Bus Volvo5402 Bus Volvo5403 Bus MCI5603 Bus MCI5605 Bus MCI5607 Bus Volvo5608 Bus MCI5610 Bus MCI5611 Bus Volvo5614 Bus MCI5615 Bus MCI5616 Bus MCI5617 Bus MCI5618 Bus MCI5619 Bus MCI5804 Bus Prevost615 SUV GMC618 SUV ChevyRental VehicleMILEAGE REIMBURSEMENT REQUEST Personal Car Mileage Reimbursement Requested Number of Miles on Personal CarCalculated Reimbursement AmountImage Uploads Drop files here or Select filesAccepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 2 GB, Max. files: 5.Overhead Request Two For This DayMarket Charlottesville Lexington Norfolk Richmond Other (Note in long description) Start Date MM slash DD slash YYYYStart Time : Hours Minutes AM PM AM/PMEnd Date MM slash DD slash YYYYEnd Time : Hours Minutes AM PM AM/PMShort DescriptionChoose One Below:Clean a Vehicle.Complete Traveller Paperwork.Dispatch Rides.Do Office Maintenance.Do Office Paperwork.Give/Receive Training.Make Company Calls.Pickup Office Supplies.Pickup Parts for Shop.Repair a Vehicle.Transfer Rental Vehicle.Transfer Vehicle to/from Repair Shop.Transfer Vehicle to/from Terminal.Travel to/from Charlottesville.Travel to/from Lexington.Travel to/from Norfolk.Travel to/from Richmond.Other (Note in long description).More Detailed DescrptionVehicle Involved (Note mileage in long description)Choose One Below:1106 Van Ford1414 Van Ford1415 Van Ford2004 Minibus2103 Minibus2104 Minibus2418 Minibus2419 Minibus2420 Minibus2421 Minibus3205 Minibus3206 Minibus344 Sedan Lincoln5101 Bus Prevost5401 Bus Volvo5402 Bus Volvo5403 Bus MCI5603 Bus MCI5605 Bus MCI5607 Bus Volvo5608 Bus MCI5610 Bus MCI5611 Bus Volvo5614 Bus MCI5615 Bus MCI5616 Bus MCI5617 Bus MCI5618 Bus MCI5619 Bus MCI5804 Bus Prevost615 SUV GMC618 SUV ChevyRental VehicleOverhead Request Three For This DayMarket Charlottesville Lexington Norfolk Richmond Other (Note in long description) Start Date MM slash DD slash YYYYStart Time : Hours Minutes AM PM AM/PMEnd Date MM slash DD slash YYYYEnd Time : Hours Minutes AM PM AM/PMShort DescriptionChoose One Below:Clean a Vehicle.Complete Traveller Paperwork.Dispatch Rides.Do Office Maintenance.Do Office Paperwork.Give/Receive Training.Make Company Calls.Pickup Office Supplies.Pickup Parts for Shop.Repair a Vehicle.Transfer Rental Vehicle.Transfer Vehicle to/from Repair Shop.Transfer Vehicle to/from Terminal.Travel to/from Charlottesville.Travel to/from Lexington.Travel to/from Norfolk.Travel to/from Richmond.Other (Note in long description).More Detailed DescrptionVehicle Involved (Note mileage in long description)Choose One Below:1106 Van Ford1414 Van Ford1415 Van Ford2004 Minibus2103 Minibus2104 Minibus2418 Minibus2419 Minibus2420 Minibus2421 Minibus3205 Minibus3206 Minibus344 Sedan Lincoln5101 Bus Prevost5401 Bus Volvo5402 Bus Volvo5403 Bus MCI5603 Bus MCI5605 Bus MCI5607 Bus Volvo5608 Bus MCI5610 Bus MCI5611 Bus Volvo5614 Bus MCI5615 Bus MCI5616 Bus MCI5617 Bus MCI5618 Bus MCI5619 Bus MCI5804 Bus Prevost615 SUV GMC618 SUV ChevyRental VehicleI certify this information as true and correct.SignatureNameThis field is for validation purposes and should be left unchanged.
