Equipment Maintenance – Greeley Forms

Employee Fuel Card Access Request Form

* An accounting string and department number must be included for billing purposes.
* For questions or issues pertaining specifically to vehicle or miscellaneous fuel cards, please contact Equipment Maintenance at [email protected], 350-9376 or 350-9273

Date(Required)

Last Name(Required)

First Name(Required)

Employee #(Required)

Position Title(Required)

Department(Required)

Division(Required)

Supervisor Name(Required)

Supervisor Number(Required)

Department Number(Required)

Accounting String(Required)

Requestor First & Last Name(Required)

Acknowledgement(Required)

I acknowledge that I have read, understand and agree to the 2022 Fuel Card User Agreement and Fueling Procedures