Zoology Vehicle Usage Record
Name:
Email:
Supervisor Name:
Vehicle Borrowed
Gray Chevy Cargo Van #DP1548
Gray Toyota Minivan #102CVP
Speedchart / Grant:
Date you left:
(yyyy-mm-dd)
Time you left:
hh:mm am/pm
Date you returned:
(yyyy-mm-dd)
Time You Returned:
hh:mm am/pm
Departure Odometer:
(kms)
Return Odometer:
(kms)
Vehicle Return Checklist
Gas Receipt Included
Clean vehicle after use
Return this form and vehicle keys to Zoology Admin office, Room 3051 East Wing, BioSci Bldg
Report any damage, dents, scratches, etc. Describe below, if any:
By clicking SUBMIT, I acknowledge that the above information is accurate and complete