• Owner Operator Monthly Maintenance Record

  • This sheet is a combination of identification record, brake record, preventative maintenance record, repair record, and tire record. 

    This MUST include COPIES OF RECEIPTS for all repairs done this month. 

    All receipts need to be mobile captured.

    Regulation 396.1 & 396.3 a. b. & c. 

  • Click "Next" to complete Brake Record Section

  • Brake Record

    Date, Mileage, Adjustments, and Explanation Required to Submit

  • Click "Next" to complete Preventative Maintenance

  • Preventative Maintenance

    Check each service preformed. Date and Mileage required to Submit

  • Click "Next" to complete Repair Record

  • Repair Record

    Date, Explanation, and Parts or Accessories Installed Required to Submit

  • Click "Next" to complete Tire Record

  • Tire Record

    Date and List of Repair Required to Submit

  • Click "Next" to Finish & Submit Form

  • Finish & Submit

  • I certify that all entries are complete, true, and correct and that this information was complied from individual bills and invoices in my possession

  • Completed Monthly Maintenance Record and COPIES OF RECEIPTS are to be submitted by the 5th of each month with the prior month's data.

  • Should be Empty: