College Vehicle Use Log
Campus Security Department
Lake Worth Boca RatonPalm Beach Gardens Belle Glade
Vehicle #
S. O. Supervisor
Odometer
Verification Signature
Received by
DG&L Supervisor
Departing Campus
All completed original logs must be
forwarded to the District Grounds & Landscaping Supervisor.
Originating department will maintain copies.
IF DRIVING TO MULTIPLE LOCATIONS, USE A SEPARATE LINE FOR EACH LEG OF TRAVEL
Employee Driver
(Print)
Destination & Purpose of Trip
(Print)
Date Out
Time Out
Beginning
Odometer Reading
Date In
Time In
Ending
Odometer Reading
Date: _____________
Date
Revised 03/01/2013