Vehicle Mileage Log

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Vehicle Mileage Log

Employee Name: {{employee_name}}

Employee ID: {{employee_id}}

Department: {{department}}

Vehicle Make/Model: {{vehicle_make_model}}

Vehicle Registration Number: {{vehicle_registration_number}}

Reporting Period: From {{start_date}} to {{end_date}}

Mileage Details

For each journey, please complete the following details:

| Date | Odometer Start (km) | Odometer End (km) | Total Distance (km) | From Location | To Location | Purpose of Trip |

|---|---|---|---|---|---|---|

| {{date_1}} | {{odometer_start_1}} | {{odometer_end_1}} | {{distance_1}} | {{from_location_1}} | {{to_location_1}} | {{purpose_1}} |

| {{date_2}} | {{odometer_start_2}} | {{odometer_end_2}} | {{distance_2}} | {{from_location_2}} | {{to_location_2}} | {{purpose_2}} |

| ... | ... | ... | ... | ... | ... | ... |

Total Business Mileage for Period: {{total_business_mileage}} km

Personal Mileage (if applicable): {{personal_mileage}} km

Calculation of Reimbursement

Approved Mileage Rate: {{mileage_rate}} per km (e.g., ZAR 4.18/km, KES 35/km, NGN 90/km)

Total Reimbursement Amount: {{total_reimbursement}} (Calculated as Total Business Mileage x Approved Mileage Rate)

Declarations

I hereby declare that the information provided in this mileage log is true and accurate to the best of my knowledge and belief, and that these journeys were undertaken for official company business.

I understand that false declarations may result in disciplinary action and/or legal consequences.

Authorisation

This section is to be completed by the employee's direct manager or authorised personnel.

Approved By: {{approver_name}}

Position: {{approver_position}}

Date of Approval: {{approval_date}}

Employee Signature

_____________________________

{{employee_name}}

Date: {{signature_date}}

Manager Signature

_____________________________

{{approver_name}}

Date: {{manager_signature_date}}