Courtesy Car

* indicates a required field

2. Courtesy Car Policy Notice

   The City of Hamilton provides this courtesy vehicle as a complimentary service for transient airport visitors. Use of this vehicle is a privilege and may be denied or revoked at any time.

   Vehicle use is restricted to destinations within five (5) miles of the Hamilton city limits unless specifically authorized by Airport Management.

   Maximum use period is 24 hours unless otherwise approved.

   Drivers must comply with all federal, state, and local laws.

6. Full Name*
7. Date & Time Out*
   Date & Time Out

   Date & Time Out
9. Driver’s License Number*
10. State Issued*
    -- Select One --TXARLANMOKOther
12. Driver’s License Expiration Date*
    Driver’s License Expiration Date
13. Home Address*
15. Mobile Number*
17. Email Address*
19. Aircraft N-Number*
23. Reason for Your Visit

    1. Fuel Stop
    2. Business Meeting
    3. Restaurant / Meal
    4. Overnight Stay
    5. Shopping / Errands
    6. Emergency / Weather Delay
    7. Other
25. If “Other”
29. Intended Destination(s)*
31. Expected Return Date & Time*
    Expected Return Date & Time

    Expected Return Date & Time
35. Driver Certification & Agreement

    Terms & Conditions

    By checking the box below and typing my name, I certify that:

    • I possess a valid driver’s license.

    • I am legally authorized to operate a motor vehicle.

    • I have read and agree to the Courtesy Car Use Agreement.

    • I understand misuse of the vehicle may result in loss of privileges.

    • The information provided is accurate.

37. I have read and agree to the Courtesy Car Use Agreement.*

    1. Yes
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit