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New Vehicle Lease Request - Form
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New vehicle lease quote request
Person requesting quote
Email Address:
Telephone Number:
Name of Area
Name of authorised approver
Authorised approvers email
Authorised approvers contact number
Cost Centre linked to lease
Cost Centre Name
Is there any special funding arrangements?
Full explanation why a lease vehicle is required
Explain what the primary use of the vehicle will be
Designated Purpose
Dedicated: ONLY to be utilised by the area responsible
Pool Vehicle: Available for use by other University staff
Utilisation
University Business Only
Other
Other Explanation
Vehicle Category according to UniSA's Motor Vehicle Guildelines
Vehicle Category
Tool of Trade
Work-Related
University Procurement process requires a minimum of three written quotes. Please provide a link to each make/model
Transmission
Automatic
Manual
Fuel
91 Unleaded
Diesel
Delivery Address
Garaging Address
Colour
Minimum safety requirements
Signage
Lease Terms
Term (Months)
6 months
12 months
24 months
36 months
48 months
Other
If other is selected, please specify length of term
Term (KMS)
10 000 kms
15 000kms
20 000 kms
25 000kms
30 000 kms
Delivery Date
Is this vehicle replacing an existing lease, if YES, please provide current registration number
Accepting the vehicle
Comments
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