Fleet Fuel Additive Log Form
Fleet Fuel Additive Log Form
Date of Additive Use
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle Identification Number (VIN)
*
License Plate Number
*
Fleet Vehicle Unit Number
Additive Type
*
Please Select
Diesel Additive
Gasoline Additive
Ethanol Additive
Anti-Gel
Injector Cleaner
Other
Amount of Additive Used (Liters)
*
Odometer Reading (km)
Location of Additive Use
Reason for Additive Use
Please Select
Scheduled Maintenance
Performance Issue
Weather Condition
Operator Request
Other
Operator Name and ID
*
Submit Log
Should be Empty: