Company Vehicle FBT Questionnaire Form
Please complete the Company Vehicle FBT Questionnaire Form to provide details about company vehicle use for FBT assessment purposes.
Employee/Driver Full Name
*
First Name
Last Name
Employee/Driver Email Address
*
example@example.com
Vehicle Make and Model
*
Vehicle Registration Number
*
Period Vehicle Was Used (Start Date)
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Period Vehicle Was Used (End Date)
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is the vehicle used for any private purposes?
*
Yes
No
Describe any private use of the vehicle
Where is the vehicle usually garaged or kept overnight?
*
Additional notes or comments to help assess taxable vehicle use
Submit
Should be Empty: