Anchor - Van Reporting Form
This form is to be completed for any issues relating to the van whilst using it for the charity or in the community.
Name of Driver
*
First Name
Last Name
Today's Date
*
Reason for Travel
*
Were members present during the journey?
*
Yes
No
Were there any issues during the journey, including any accidents or damage to the van?
*
What is the fuel level at following the journey?
100%
75%
50%
25%
Less than 25%
Did you refuel? If so, please attach the receipt below
Yes
No
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Please ensure that you have done the following: fuel is above 25%, van is tidy and free of clutter in the seating area, the key has been returned to Stacey's office or the next driver, the fuel card has been returned to the glove box and any damage or issues have been reported on this document.
Van Tasklist Completed
Van Tasklist Not Completed
Driver Signature
*
Submit
Should be Empty: