Church Vehicle Request

Please do not fill out this form if you are not the one who will be driving the vehicle.

Name Name First Last
Email
Phone Phone - ### - ### ####
Are you on CCCM's current drivers/insurance list?

Are you on CCCM's current drivers/insurance list? Yes No
If you are not on our current drivers list, you cannot request a vehicle. If you would like to be on the list, please contact fleet insurance manager at facilities@cccm.com to request to be on the list.
What date would you like to request the vehicle? What date would you like to request the vehicle? / MM / DD YYYY
What time will you pick it up? What time will you pick it up? : HH MM AM/PM
Please list the return date. Please list the return date. / MM / DD YYYY
What time will you drop it off? What time will you drop it off? : HH MM AM/PM
Please list the reason for your vehicle request.
Are you a Calvary Chapel Costa Mesa church employee or volunteer?

Are you a Calvary Chapel Costa Mesa church employee or volunteer? Yes No
What department are you employed in? If not, what ministry do you volunteer for?
If you are employed or in ministry, who is your immediate supervisor?
Do you have a current/valid California drivers license?

Do you have a current/valid California drivers license? Yes No
Drivers License #
State of Issue
Have you had any traffic citations/accidents within the last year?

Have you had any traffic citations/accidents within the last year? Yes No
If yes, please explain.
CCCM Vehicles
Passenger Van - Seats 8
CCCM Trucks

To request any of the following trucks, special training is required. If you have not taken the training for these trucks, contact Gil Martinez at gmartinez@cccm.com.

CCCM Trucks To request any of the following trucks, special training is required. If you have not taken the training for these trucks, contact Gil Martinez at gmartinez@cccm.com. Stake Bed Truck/Flat Bed - 22 ft., 6 spd. Manual Transmission, Lift Gate (Seats 2) Box Truck (Lovesong) - 14 ft., Auto Transmission, Pull Out Ramp (Seats 2)
CCCM Hino

To request the following truck, special training is required.

In order to reserve the Hino, you must watch this video.

Please select both boxes if you have watched the video and would like to reserve the truck.

CCCM Hino To request the following truck, special training is required. In order to reserve the Hino, you must watch this video. Please select both boxes if you have watched the video and would like to reserve the truck. I have watched and understood the Hino training video Hino Box Truck - 24 ft., Auto Transmission, Air Brakes, Lift Gate (Seats 2)
Hino Training Video
Vehicle Safety Video
CCCM Trailers

To request any of the following trailers, special training is required. If you have not taken the training for these trailers, contact Xavier Aguilar at xaguilar@cccm.com.

CCCM Trailers To request any of the following trailers, special training is required. If you have not taken the training for these trailers, contact Xavier Aguilar at xaguilar@cccm.com. Box Trailer - 14 ft., 2 Axle, w/Brakes Box Trailer - 10 ft., 1 Axle
Please give us within 48 hours to process and respond to your request.

Church Vehicle Request

Church Vehicle Request

CCCM Vehicles

Hino Training Video

Vehicle Safety Video