Company Vehicle and Driver Details Form
Driver
Please Select
Edward Daniels
Micheal Stanfield
Oscar D. Anderson
Chad Levin
Jerry E. Creighton
Christopher J. Wint
Benny Clark
Start Date
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Return Date
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Location / Area
Vehicle Number
Please Select
T-001
T-002
T-003
V-001
V-002
MiniV-001
MiniV-002
MiniV-003
B-001
B-002
Checklist
Working
Missing
Needs Repair
Windshield
1
2
3
Rear-view Mirrors
4
5
6
Turn Signals
7
8
9
Interior Lights
10
11
12
Outside Lights
13
14
15
Safety Triangles
16
17
18
Tires
19
20
21
Cabinets/Latches
22
23
24
Seat Belts
25
26
27
Fire Extinguisher
28
29
30
Horn
31
32
33
Starting Mileage
Ending Mileage
Fuel receipts
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Date
-
Month
-
Day
Year
Date
Signature
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