Zoology Vehicle Usage Record

Name: Email:
Supervisor Name:
Vehicle Borrowed Blue Toyota Truck
Gray Chevy Cargo Van
Gray Toyota Minivan
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 Shipping/Receiving
Report any damage, dents, scratches, etc

By clicking SUBMIT, I acknowledge that the above information is accurate and complete