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Fillable Printable Driver Trip Report Template

Fillable Printable Driver Trip Report Template

Driver Trip Report Template

Driver Trip Report Template

(Driver Trip Report)
TRACTOR NO
HUBOMETER READING
DRIVER
TRAILER NO. ENDING: ORIGIN
TRAILER NO. BEGINNING: DESTINATION
TOTAL HUB MILES: DESTINATION
LOCATION CARRIER (LESSEE)
TRAILER AXLES: TRIP LEASE #
DIESEL GAS L.P.G. 1 2 3 4 CARGO WT. (COLO.)
DRIVER MUST ENTER ODOMETER READING
BEGINNING AND BY STATE EXIT
(DRIVER TO COMPLETE ALL AREAS BEGINNING ODOMETER READING DRIVER TO ENTER MILEAGE & FUEL PURCHASES FOR FUEL
SEE INSTRUCTIONS & SAMPLE ON BACK) MILEAGE AND HIGHWAY TAX REPORTING
LINE
NO. DATE
STATE OR
PROVINCE
HIGHWAYS
USED
ODOMETER READING
STATE EXIT NON-TOLL
TOLL
L=LOADED
E=EMPTY
TRIP
PERMIT
TRIP
CITIES
GALS. PURCHACES VENDOR
INVOICE
NUMBER
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
ENDING ODOMETER READING
DATE
TRIP REPORT NUMBER
STATE LAWS REQUIRE THE DRIVER TO
KEEP A RECORD OF MILES DRIVEN AND
FUEL PURCHASED IN EACH STATE FOR
EACH TRIP.
DRIVER/CONTRACTOR'S SIGNATURE
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