Delivery Vehicle Seal Log Form
Log and verify seals used on delivery vehicles. Please complete all fields for accurate record-keeping.
Seal Log Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Delivery Vehicle Identifier
*
Driver/Operator Name
*
First Name
Last Name
Route or Delivery Reference
*
Seal Number
*
Seal Status
*
Please Select
Applied
Intact
Broken
Replaced
Other
Seal Applied Time
*
Hour Minutes
AM
PM
AM/PM Option
Seal Removed/Checked Time
*
Hour Minutes
AM
PM
AM/PM Option
Seal Condition Notes
Verification/Inspector Name or Signature
*
Submit Log
Submit Log
Should be Empty: