Vehicle Justification And Ieo Approval Form Page 2
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1
2Mississippi Institutions of Higher Learning Executive Office
(Vehicle Justification and IEO Approval Form)
Form must Accompany Requisition for Vehicle Purchase or L ease
Date: _____________________________
Department Requesting Vehicle: ____________________________________________________
Department Contact Name and Phone Number: _______________________________________
Is this a Lease or Purchase:
Lease _____________
Purchase: _________________
Vehicle Description: Make, Model, Year, and Type (automobile, van, truck):
_______________________________________________________________________________
Justification related to the need and use for the vehicle lease/purchase (provide detailed explanation):
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Is the vehicle replacing another vehicle?
Yes _______
No _______
If yes, explain disposition of vehicle being replaced: ___________________________________________
Cost Analysis Explanation:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Department Head Signature: ______________________________________ Date: __________________
Institutional Executive Officer’s Approval: ___________________________ Date: _________________
Requisition Number:
____________________________
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Parent category: Letters