VEHICLE TRIP TRACKING FORM
Driver Name
First Name
Last Name
Vehicle #
Vehicle Type:
*
DCS
Operations
Who maintains the vehicle in question?
Pickup Location:
Address
Driver Affiliation/Dept:
Starting Date and Time
-
Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Ending date and Time
-
Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Starting Mileage
Ending Milieage
Total Mileage
Total Mileage
Fuel purchased?
Yes
No
Fuel Level:
Full, 3/4, 1/2, 1/4
Fuel tank must be at least 1/2 full when returned.
General Activities:
Brief description of vehicle use:
Did vehicle go through Express Lanes?
Yes
No
Were any consumables used?
Ex. Blankets, canteen kits, comfort kit, etc. Please indicate number of items used.
Vehicle issues:
Submit
Should be Empty: