Fillable state of louisiana daily vehicle log 12/2015

Fill Online, Printable, Fillable, Blank state of louisiana daily vehicle log 12/2015 Form

Use Fill to complete blank online BATON ROUGE COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

state of louisiana daily vehicle log 12/2015

On average this form takes 3 minutes to complete

The state of louisiana daily vehicle log 12/2015 form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 13 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Baton Rouge Community College

BROWSE BATON ROUGE COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Month Unit #
PA HS Make Model Model Year
Gallons Down
Trip Mileage of Fuel Days
TOTAL EXPENSE FOR MONTH $
Final Reading:
Monthly Totals
TITLE
AUTHORIZED SUPERVISORPERSON SIGNING THE REPORT OR THE TRANSPORTATION OFFICER SHALL SUBMIT THIS REPORT TO HIS/HER SUPERVISOR BY THE
THIRD WORKING DAY OF EACH MONTH, WHO SHALL REVIEW, SIGN THE BOX (RIGHT) IF APPROVED, AND FORWARD TO THE AGENCY
TRANSPORTATION COORDINATOR WITHIN THREE ADDITIONAL DAYS.
SIGNATURE OF ASSIGNED DRIVER (IF APPLICABLE)THE ABOVE RECORD REFLECTS AN ACCURATE ACCOUNTING OF THE USE OF THIS STATE-OWNED VEHICLE, AS ATTESTED TO BY THE
OPERATOR'S INITIALS BY EACH ENTRY (POOL CARS) OR, FOR PERSONALLY ASSIGNED VEHICLES, THE DRIVER'S SIGNATURE. THE LAST
Location where trip began, all points visited, unless did not leave state
grounds; where trip ended & purpose of trip (meeting, site visit, etc.)
Beginning Odometer: Maint. & Repair Cost
Driver
(Detail on Reverse Side)
Other Costs (Detail
on Reverse Side) Date Trip Ending Reading Fuel Cost Initials
License Plate
Year
DO NOT INCLUDE
INSURANCE COSTS
Revision 12/2015
MV3/MV4/SafetyChecklist
DAILY VEHICLE LOG
STATE OF LOUISIANA
VIN
Notes
Initials $ Parts $ Labor
$ Parts $ Labor
Headlamps
Brake/Turn/Hazard/Parking/Backup Lights
Horn
Mirrors/Windows/Windshield
Windshield Wiper/Washer
Adequate Tire Inflation/Tread
Spare Tire & Jack
Fire Extinguisher
Inspection Sticker Current
Fuel Level (F,¾,½,¼,E)
Oil(Indicator in Safe Zone)
Heat/AC
Radio
Tool Kit Accounted For
All Tools Accounted For
Inspection Verification
Operator's Initials
Date
Remarks for Faulty Items
Equipment
Indicate OK in the corresponding box with a (√). Indicate Faulty in the corresponding box with a (x).
Check clutch pedal free-play
Odometer Reading Service Report: Nature of Repairs (Car wash, tires, etc) $ Total Cost
VEHICLE SAFETY INSPECTION CHECKLIST
Other Costs
Vendor Date
PREVENTIVE MAINTENANCE RECORD
Check fluid levels
$ Total CostOdometer Vendor
Visual checks & inspections to be done every 6
mths or 6000 miles (whichever is earlier)
Change engine oil and filter
Change automatic transmission fluid & filter
Replace air filter
Replace fuel filter
Check PCV valve and exhaust system
Replace wheel bearings
Clean battery posts & clamps
Date Performed
Inspection sticker
Rotate tires
Tune engine
Remove all wheels & inspect brakes
Lubricate all fittings/latches/hinges
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

state of louisiana daily vehicle log 122015

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 21 January 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document