Vehicle Usage Log
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1
2VEHICLE USAGE LOG
Department ________________________________________ Vehicle Homebase ____________________________ Week Ended (Sunday) _________________
Door #____________ License Plate ____________________ Vehicle Description _________________________________________________________________
#
Reason for
People
Trip (enter
DATE OF
(Incl.
Trip Start
Start
Trip End
End
code # from
Print Name of
Initialed
TRIP
Driver)
Time
Odometer
Time
Odometer
below)
Explanation/Description (for 4, 5, or 7)
Driver
by Driver
TURN IN ALL RECEIPTS
Incidental Costs (Fuel, Oil, Maintenance, Repairs, etc.) *Note -
Date
Fuel/Fluid Type
Fuel/Fluid
Fuel/Fluid
Outsource
Outsource
Description of Outsource Work Performed
Odometer
Qty
(Total Cost)
Material
Labor
(Total Cost)
(Total Cost)
Trip Reasons: (Enter one or more as needed)
1. Transporting People To and From Airport, Meetings, Conferences, Seminars, Training, etc.
2. Transporting People To and From Jobsite
Reviewed By:
3. Mail Run
4. Transporting General Materials/Supplies (Enter Description such as office supplies, print jobs, etc.)
5. Transporting Sensitive Materials/Supplies (Enter Description such as grade sheets, artifacts, money, etc.)
6. Taking vehicle to Automotive Shop for repairs/maintenance
______________________________
7. Other (Explain what the vehicle was used for. Use back of sheet if needed.)
Signature
Form PTFS-4 (rev. 10/2005-ecb)
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Parent category: Miscellaneous