Logistics Fuel Requisition Form
Submit your request for fuel allocation for logistics vehicles or equipment. Please provide all necessary details for approval and processing.
Requestor Full Name
*
First Name
Last Name
Requestor Email Address
*
example@example.com
Department / Unit
*
Please Select
Logistics
Transport
Warehouse
Procurement
Other
Date of Fuel Request
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle or Equipment ID / Registration Number
*
Current Odometer Reading (km) or Hours Used
*
Fuel Type
*
Diesel
Petrol / Gasoline
LPG
Other
Quantity of Fuel Requested (Liters)
*
Purpose of Fuel Usage
*
Please Select
Scheduled Delivery
Pickup/Drop-off
Maintenance/Service
Emergency
Other
Fueling Location
*
Please Select
On-site Fuel Station
External Fuel Vendor
Mobile Fueling Unit
Other
Supervisor / Approver Name
*
Additional Remarks (Optional)
Submit Request
Should be Empty: