VEHICLE REQUISITION FORM

Dt…………..

A Vehicle is required for Company’s / Personal/ Work on ……………………… at …………………….

1. Purpose …………………………………………………………………………………………………

2. Place of work …………………………………………………………………………………………..

3. Duration ………………………………………….. (Hrs / Day)

4. Employee’s name ……………………………… Designation……………………….Dept…………..

The vehicle should report to Mr…………………………………………… at …………………………..

(Requisitioned by) (Dept. Head) (Approved by)

FOR DEPARTMENTAL USE

1. Vehicle No………………………………………………………. Allotted to………………………….

2. Driver………………………… 3. HSD Issued…………Ltr. 4. Allotting Authority…………………..

FEED BACK TO BE FILLED IN BY THE USER

Vehicle reported at…………………………… on……………………….. at …………………………..

Opening Meter Km……………………, Vehicle released at(place)…………………….. on…………….

at …………………(AM/PM), Closing meter km………………………………..

AC Used…………………………… KM, Total…………………………….KM Used

Remarks : G-Good F-Fair P-Poor (Use abbreviation for remarks)

Vehicle condition Punctuality Driver’s Behavior

User’s Signature