(PRINT)
Employee Driver
(PRINT)
Destination/Purpose of Trip Date Out Time Out Odometer Reading Out Date In Time In Odometer Reading In
College Vehicle Use Log
EMS-EMT
Lake Worth Boca RatonPalm Beach Gardens Belle Glade
Vehicle #
Dept. Supervisor
Verification Signature
Received by
DG&L Supervisor
Date
Departing Campus
All completed original logs must be
forwarded to the District Grounds & Landscaping
Supervisor.
Originating department will maintain copies.
Date
Revised 03/01/2013