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Commonwealth of Pennsylvania
Department of General Services
GSVM-88 (Rev.07/14)
To:
Equipment Number
OLD CODING / NON-SAP: BA # (DEPT #)
Part I
Coding Change
Part II - DRIVER'S INFORMATION
Vehicle Operator
Executive Vehicle
Location Change
Executive Driver
Zip Code Work
Zip Code Work
Part III - LICENSE / REGISTRATION / PLATE REQUESTS / INSURANCE CARD / WEIGHT CLASS STICKER
Signature (Automotive Liaison)
Date
Budget Period
Budget Period
Org #
Driver's Employee
Number
Confidential or PA to
Fictitious
Fictitious to
___Confidential or ___PA
For Lost License
Plate
Credit Card Coding
Request for Duplicate
____ Registration ____ Sticker
Replacement of Defaced
Credit Card
Title Number
New Driver /
Employee
Vehicle Day Time Location:
Driver's Operator
License Number
Street, Town or City
Address
(First Name)
Operator's Job Title
County Name
Did Driver transfer from another agency? ________Yes ________No
Controlled Exec
Driver
NEW SAP CODING
Fund
Internal Order
NEW CREDIT CARD
ACCT #
Cost Center
NEW CODING/NON-SAP : BA# (DEPT #)
EFFECTIVE DATE
License Plate Number
CREDIT CARD REQUEST
Org #
OLD SAP CODING Fund
Dispatcher's Name
If Pool
(First Name)
(Last Name)
-
-
Other
_____________________
Driver's Name
Home
Assignment of License Plate (Attach Form
GSVM-95 for Confidential License Plate).
Vehicle Overnight Location:
Pool
Vehicle
Street, Town or City
Address
(Last Name)
Defaced License Plate. Issue New Plate to
Replace Plate Number.
County Name
Home
VEHICLE INVENTORY CHANGE REPORT
Vehicle Administration Division
Bureau of Vehicle Management
OLD CREDIT CARD
ACCT #
Replacement of
Lost/Stolen Credit Card
2221 Forster St.
REQUESTED BY:
(Department, Board or Commission)
Internal Order
Cost Center
Pool
Vehicle
Insurance Card
Duplicate Weight
Class Sticker #
Card Number:
Year
Make
Model
Serial Number
PA
VEHICLE ADMINISTRATION USE ONLY
Lic. Plate
Date Ordered
Date Received
PA to Confidential
New License Plate Number
If yes, what Agency
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