TRIP REDUCTION DRAWING ENTRY
Name:
I am a: Student Employee
Phone:
Date of use:
Campus Selection:
Alternative Mode Used: Bike Bus Walk Carpool/Van pool Other
Reason: New (First time using alternative mode)
  Regular Alternative Mode User
  Clean Air Campaign
  High Pollution Advisory *
 
* If you used an alternative mode on a high pollution advisory day, you may submit this form twice for the single day. One form should be filled out marking the advisory for the reason and the other submission should mark the other reason that is accurate.