Zoology Vehicle Usage Record

Name: Email:
Supervisor Name:
Vehicle Borrowed Grey Chevy Cargo Van #DP1548
Grey Toyota Minivan #102CVP
Grey Toyota Truck #WT7992
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

Fill gas tank and submit the receipt with key return.
Clean vehicle – inside and out.
Return this form and vehicle keys to Zoology Admin office, Room 3051 East Wing, BioSci Bldg
Email completed copy of this form to zoology.info@ubc.ca
Report any damage, dents, scratches, etc. Describe below, if any:

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