Dms Form Mp6301 - Request For Acquisition Of Motor Vehicle(S) And Mobile Equipment

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CLEAR FORM
DMS Fleet Management
Request for Acquisition of Motor Vehicle(s) and Mobile Equipment
PRIOR to completion of DMS Form MP6301, review Chapter 287
Part II
F.S., Means of Transport.
Reference guidelines are provided in DMS Fleet Management Procedure Number FMP1; Fleet Acquisition:
Purchase, Lease, Rental, Donation & Transfer of Motor Vehicles and Mobile Equipment
A. REQUESTOR
Department:
Request #:
CHOOSE AGENCY/DEPARTMENT
Division:
Date:
Name:
Title:
Address:
City:
Zip:
Phone:
Fax:
Email:
B. DESCRIPTION OF MOTOR VEHICLE(S) AND MOBILE EQUIPMENT TO BE ACQUIRED
Requesting agency is encouraged to review the operating expenses associated with the requested representative model
equipment. U.S. Department of Energy:
State Commodity Code: ___________________________
Color: _____________________
DOT Fleet Code: ____________________ (
)
For Department of Transportation Use Only
Representative Model Description
(As stated on the contract price sheet):
Method or Type of Acquisition Requirements.
Please select the Method or Type of Acquisition.
The following selections require the completion of Sections A-G:
State Term Contract Purchase of Motor Vehicle(s)
Invitation To Bid Purchase (Requires ITB#
)
Used Motor Vehicle Purchase
GSA 1122 “Counter-drug” Program Purchase (Requires GSA#
)
Alternate Contract Source Purchase
(Also requires completed authorization from DMS
State Purchasing)
The following selections require the completion of ALL Sections, except F:
State Term Contract Purchase of Mobile Equipment
Used Mobile Equipment Purchase
( e.g., Commercial Trucks
Donation
(Class 4-8), Heavy Equipment and other related equipment.)
Transfer
(Requires all sections except F unless agency exchange of equipment)
Lease
Other; Requires further explanation:
The following information is required if you selected - Used, Lease, Donation or Transfer:
Year: ________________ Make:
Model: _________________________________________
VIN or S/N: _____________________________
Odometer/Hour Meter: ______________________
1
DMS FORM MP6301
Revised 2016

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