Application Information Form (Automated Fuel System)

Note : The account number you provide will be used for billing purposes, not the employee information. All vehicles will require a fuel key and these keys should be placed in the vehicle glove box to be used by anyone within the department authorized to fuel at the station. Each key will be coded for a particular vehicle and assigned a department number that will reference an account number for billing of all fuel transactions. Employees will be given a special PIN code to be used when fueling. This PIN number should not be given to anyone else, it will be specific to the individual fueling, and will be used for additional reporting functions. It is important to remember that all information must be correct. In processing the current Gasboy billings of our fuel station, there are several inaccurate cards and billings occurring to vehicles because information has not been changed, updated or deleted. In order to keep your accounting records accurate and ours, it is required that each vehicle your department operates have a separate form completed. For equipment needs, you only need to fill out one form unless you have multiple account numbers that will be used for billing, in this case, you will need to fill out a separate form for equipment that indicates a different account number. If you have questions relating to this form or the new system, please contact our office at 593-1611.

• STEP 1. Department Information

Person Responsible for Budget
OAK ID	@oak.cats.ohiou.edu
Campus Address
Phone Number
Department Name
Account Number	Fund Type(3)	-	Fund(4)	-	ORG(5)	-	NA/ET(6)	-	Project(9)	-	Task(2.2.2)
		-		-		-		-		-	. .

 

• STEP 2. Asset Information (Vehicle, Equipment)

---- for Vehicle

License #
Make
Year	(YYYY)
Type / Size	--- Type --- Car Trucks/SUV's Vans Commercial    --- Size ---

Is the same account number used for maintenance on vehicle?    Yes No

(if No, list account numbers below) Account Number -----.. [delete]   [Add an account number]

Primary Driver of Vehicle (Last Name, First Name)	,
Contact Phone Number
Does primary driver have access to fuel other vehicles within this department using the same account number?   Yes No
(if Yes, list additional vehicle license numbers and department account numbers if they are different) License # / Account # / -----.. [delete]   [Add License # and accounts #]
List Other drivers of vehicle that need access to fueling station (please remember the department information associated with the fuel key is used for billing - not the employee)
Last Name, First Name , [delete]   [Add a driver]

---- for Equipment

Equipment Type	--------- Equipment Type --------- Lawnmower Construction (ie, back-hoe, lifts) Cart (ie, golf, gator, mule) Equipment (ie, generator, power washer, snow blower) Unspecified (ie, gas can)
Fuel Type Used	--- Fuel Type --- Gasonline Diesel Both
Equipment Operator(s) Name	Last Name, First Name , [delete]      [Add an operator]

 

• STEP 3. Submit