Form Trip Report PDF Details

A trip report is a form of report that documents the progress and results of a journey or expedition. It may be in written or oral form, and it can serve many purposes, from providing an overview for someone who didn't go on the trip to being a detailed account for research or posterity. In this blog post, we'll discuss what goes into making a good trip report, as well as some tips for making the process easier. We'll also share an example of a completed trip report. So whether you're about to depart on your next great adventure or you're looking back at past trips, read on for information that will help you create effective and informative trip reports!

QuestionAnswer
Form NameForm Trip Report
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namestruck dispatch spreadsheet, dispatch sheet, dispatch and trip report, truck dispatch template

Form Preview Example

TRACTOR/TRUCK/BUS UNIT NO. DISPATCH AND TRIP REPORT

TRIP NO.

(Interstate Fuel and Mileage Reporting System)

TRAILER NO.

TRAILER NO.

FLEET NO.

LOCATION

DIESEL

GAS

L.P.G.

(COMPANY NAME)

(ADDRESS)

DISPATCH

SPECIAL INSTRUCTIONS

DRIVER/CONTRACTOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORIGIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESTINATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESTINATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHARTER ORDER #

STAPLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B/L #

 

 

 

 

PRO #

 

 

 

 

 

TRIP LEASE #

 

 

 

ALL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORIGINAL

SHIPPER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONSIGNEE

 

 

 

 

 

 

 

 

 

 

FUEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

&

CITY

 

 

STATE

 

 

 

 

ZIP

CITY

STATE

 

ZIP

TOLL

 

 

 

 

 

 

 

RECEIPTS

DATE/TIME LOADED

 

 

 

 

/

 

 

 

 

 

 

DELIVERY DATE/TIME

 

 

 

 

 

 

/

 

 

 

 

REQUIRED TEMP.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HERE

PLACARDS REQUIRED

YES NO TYPE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STOP-OFF POINTS 1.

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

4.

 

 

 

 

 

 

SPECIAL INSTRUCTIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRIP REPORT

 

 

 

 

 

 

 

 

(DRIVER TO COMPLETE ALL AREAS Ð SEE INSTRUCTIONS & SAMPLE ON BACK)

DATE

STATE

OR

PROVINCE

HIGHWAYS

USED

ODOMETER READING

BEGINNING

 

 

 

 

 

 

STATE EXIT

MILEAGE

NON-TOLL TOLL

FUEL PURCHASES

MILEAGE

 

 

 

 

GAL.

VENDOR

EMPTY

LOADED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENDING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL MILES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER/CONTRACTORÕS SIGNATURE

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AL

ALABAMA

GA

GEORGIA

MA

MASSACHUSETTS

NM

...........

NEW MEXICO

SD

SOUTH DAKOTA

MX

MEXICO

ON

ONTARIO

AK

ALASKA

ID

IDAHO

MI

MICHIGAN

NY

NEW YORK

TN

TENNESSEE

AB

ALBERTA

PE

PR. EDWARD ISLAND

AZ

ARIZONA

IL

ILLINOIS

MN

MINNESOTA

NC

NORTH CAROLINA

TX

TEXAS

BC

BRITISH COLUMBIA

QC

QUƒBEC

AR

ARKANSAS

IN

INDIANA

MS

MISSISSIPPI

ND

NORTH DAKOTA

UT

UTAH

MB

MANITOBA

SK

SASKATCHEWAN

CA

CALIFORNIA

IA

IOWA

MO

MISSOURI

OH

...........

OHIO

VT

VERMONT

NB

NEW BRUNSWICK

YT

YUKON

CO

COLORADO

KS

KANSAS

MT

MONTANA

OK

OKLAHOMA

VA

VIRGINIA

NL

NEWFOUNDLAND

 

 

 

CT

CONNECTICUT

KY

KENTUCKY

NE

NEBRASKA

OR

...........

OREGON

WA

WASHINGTON

 

and LABRADOR

 

 

 

DE

DELAWARE

LA

LOUISIANA

NV

NEVADA

PA

PENNSYLVANIA

WV

WEST VIRGINIA

NT

N.W. TERRITORIES

 

 

 

DC

DIST. OF COLUMBIA

ME

MAINE

NH

NEW HAMPSHIRE

RI

RHODE ISLAND

WI

WISCONSIN

NS

NOVA SCOTIA

 

 

 

FL

FLORIDA

MD

MARYLAND

NJ

NEW JERSEY

SC

SOUTH CAROLINA

WY

WYOMING

NU

NUNAVUT

 

 

 

© Copyright 2007 & Published by J. J. KELLER & ASSOCIATES, INC., Neenah, WI ¥ USA ¥ (800) 327-6868 ¥ www.jjkeller.com ¥ Printed in the United States

30-F 996 REV. 10/07

DRIVER INSTRUCTIONS

STATE LAWS REQUIRE THE OPERATOR TO KEEP A RECORD OF DISTANCE DRIVEN AND THE FUEL PURCHASED BY JURISDICTION . YOU ARE THE ONLY PERSON WHO CAN PROVIDE THIS INFORMATION.

EACH TRIP REPORT (IVMR) MUST COVER ALL DISTANCES TRAVELED INCLUDING DEADHEAD/BOBTAIL MILES/KILOMETRES.

ATTACH ALL

ORIGINAL RECEIPTS

FUEL AND TOLL

ATTACH ALL

ORIGINAL TRIP PERMITS

PROPERLY COMPLETED TRIP REPORTS WILL AVOID FINES AND ASSESSMENTS AGAINST YOUR COMPANY.

IF YOUR VEHICLE OR UNIT BREAKS DOWN AND YOU GET A SUBSTITUTE VEHICLE OR UNIT, PREPARE A SEPARATE TRIP REPORT TO COVER THE DISTANCE TRAVELED AND FUEL PURCHASED BY THE SUBSTITUTE VEHICLE.

PREPARE A SEPARATE TRIP REPORT FOR EACH VEHICLE OR UNIT USED.

ALL FUEL RECEIPTS MUST IDENTIFY:

(1)COMPANY NAME

(2)CITY

(3)STATE/PROVINCE

(4)UNIT #

(5)INVOICE #

(6)GALLONS/LITRES

(7)PRICE PER GALLON/LITRE

(8)TOTAL PRICE

(9)DRIVER/OPERATOR SIGNATURE

(10)ADDITIONAL INFORMATION MAY BE REQUIRED.

SPECIAL ATTENTION SHOULD BE GIVEN TO THE FOLLOWING STATE LISTING.

THESE STATES WILL NOT ISSUE CREDIT FOR TOLL MILES UNLESS TOLL RECEIPTS CAN BE PRODUCED.

(NOTE: EACH STATES’ POLICY IS SUBJECT TO PERIODIC CHANGE. CONTACT THE STATES FOR MOST CURRENT INFORMATION.)

NY -

NEW YORK

ORIGINAL RECEIPT

MA -

MASSACHUSETTS

ORIGINAL RECEIPT

 

 

 

 

 

 

1.)

Company Name, Address

 

City & State

2.)

Tractor / Truck / Bus Unit No.

3.)

Trailer #

4.)

Fleet #

5.)

Fuel Type

6.)

Driver Name

7.)

Origin

8.)

Destination(s)

9.)

Dates of Trip

10.)

State(s) or Province(s)

11.)

Highways Used

12.)

Odometer Readings

13.)

Mileage Ð Non-Toll & Toll

TRACTOR/TRUCK/BUS UNIT NO.

DISPATCH AND TRIP REPORT

 

TRIP NO.

 

(2) 2109

 

 

 

 

 

 

 

 

 

 

 

 

 

(Interstate Fuel and Mileage Reporting System)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRAILER NO.

 

(3) 321

 

 

 

 

 

 

 

 

 

 

(1) Acme Freight

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRAILER NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(COMPANY NAME)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FLEET NO.

 

 

 

(4) 2

 

 

 

 

 

 

 

 

 

 

 

 

1234 Acme St.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LOCATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(ADDRESS)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X DIESEL(5) GAS

 

L.P.G.

 

 

 

 

 

 

 

Chicago, IL 60606

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DISPATCH

SPECIAL INSTRUCTIONS

DRIVER/CONTRACTOR

(6) John R. Legal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORIGIN

 

 

 

(7) Pittsburgh, PA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESTINATION

 

(8) Albany, NY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESTINATION

 

 

 

 

 

Pittsburgh, PA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

□ CHARTER ORDER #

 

 

 

STAPLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B/L #

 

 

 

 

 

 

 

PRO #

 

 

 

 

 

 

 

□ TRIP LEASE #

 

 

 

 

ALL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORIGINAL

SHIPPER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONSIGNEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FUEL

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

&

CITY

 

 

 

 

 

 

 

STATE

 

 

 

 

 

ZIP

 

 

CITY

 

 

 

 

 

STATE

 

 

 

ZIP

 

 

 

TOLL

DATE/TIME LOADED

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

DELIVERY DATE/TIME

 

 

 

 

 

 

 

/

 

 

 

 

 

 

 

REQUIRED TEMP.

 

 

 

RECEIPTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HERE

PLACARDS REQUIRED

 

YES

NO TYPE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STOP-OFF POINTS

1.

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

SPECIAL INSTRUCTIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRIP REPORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(DRIVER TO COMPLETE ALL AREAS Ð SEE INSTRUCTIONS & SAMPLE ON BACK)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ODOMETER READING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

 

 

 

 

 

 

BEGINNING

 

 

 

 

 

MILEAGE

 

FUEL PURCHASES

MILEAGE

 

 

 

 

HIGHWAYS

 

 

 

 

 

110,500

 

 

 

 

 

 

 

 

DATE

 

 

OR

 

USED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROVINCE

 

 

 

 

STATE EXIT

NON-TOLL TOLL

GAL.

VENDOR

EMPTY

 

 

LOADED

 

 

 

 

 

 

 

 

 

 

 

 

10-2-07 PA

 

I-70, 81, I-78

110,812

 

 

90

222

 

 

60

 

 

Bulk

 

312

10-2-07 NJ

 

I-78, 95, Hwy 17

110,912

 

 

90

10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

90

10-2-07 NY

 

I-87

 

 

 

 

 

111,046

 

 

 

 

 

 

 

 

134

 

 

 

 

 

 

 

 

 

 

 

 

 

134

10-3-07 NY

 

I-87

 

 

 

 

 

111,180

 

 

 

 

 

 

 

 

134

 

 

 

 

 

 

 

 

 

 

 

 

134

 

 

 

10-3-07 NJ

 

Hwy 17, 95, I-78

111,280

 

 

90

10

 

 

 

90 T & G T/S

90

 

 

 

10-3-07 PA

 

I-78, 81, I-70

111,592

 

 

90

222

 

 

 

 

 

 

 

 

 

 

 

 

312

 

 

 

(9)

 

 

(10)

(11)

 

 

 

 

 

(12)

 

 

 

 

 

 

 

 

(13)

 

 

 

(14)

 

 

 

 

 

 

 

 

 

(15)

 

 

 

 

 

 

 

111,592

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENDING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL MILES

(16)

John R. Legal

 

 

10-3-07

 

 

 

 

 

 

 

1,092

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AL

ALABAMA

GA

GEORGIA

 

 

 

 

 

 

 

DRIVER/CONTRACTORÕS SIGNATURE

 

 

 

 

DATE

MA

MASSACHUSETTS

NM

NEW MEXICO

SD

SOUTH DAKOTA

MX

MEXICO

ON

ONTARIO

AK

ALASKA

ID

IDAHO

MI

MICHIGAN

NY

NEW YORK

TN

TENNESSEE

AB

ALBERTA

PE

PR. EDWARD ISLAND

AZ

ARIZONA

IL

ILLINOIS

MN

MINNESOTA

NC

NORTH CAROLINA

TX

TEXAS

BC

BRITISH COLUMBIA

QC

QUƒBEC

AR

ARKANSAS

IN

INDIANA

MS

MISSISSIPPI

ND

NORTH DAKOTA

UT

UTAH

MB

MANITOBA

SK

SASKATCHEWAN

CA

CALIFORNIA

IA

IOWA

MO

MISSOURI

OH

OHIO

VT

VERMONT

NB

NEW BRUNSWICK

YT

YUKON

CO

COLORADO

KS

KANSAS

MT

MONTANA

OK

OKLAHOMA

VA

VIRGINIA

NL

NEWFOUNDLAND

 

 

 

CT

CONNECTICUT

KY

KENTUCKY

NE

NEBRASKA

OR

OREGON

WA

WASHINGTON

 

and LABRADOR

 

 

 

DE

DELAWARE

LA

LOUISIANA

NV

NEVADA

PA

PENNSYLVANIA

WV

WEST VIRGINIA

NT

N.W. TERRITORIES

 

 

 

DC

DIST. OF COLUMBIA

ME

MAINE

NH

NEW HAMPSHIRE

RI

RHODE ISLAND

WI

WISCONSIN

NS

NOVA SCOTIA

 

 

 

FL

FLORIDA

MD

MARYLAND

NJ

NEW JERSEY

SC

SOUTH CAROLINA

WY

WYOMING

NU

NUNAVUT

 

 

 

14.) Fuel Purchased Ð Gallons & Vendor (When fuel is purchased, enter each purchase separately and show the number of gallons on the same line as the state in which the purchase was made in the column marked ÒGALÓ.) When bulk fuel is used, indicate ÒBULKÓ in the vendor column under fuel purchases and attach all bulk receipts.

15.) For companies choosing to track loaded/unloaded miles

16.) Your Full Legal Signature

© Copyright 2007 & Published by J. J. KELLER & ASSOCIATES, INC., Neenah, WI ¥ USA ¥ (800) 327-6868 ¥ www.jjkeller.com ¥ Printed in the United States

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Step 2: After you launch the editor, you'll notice the document ready to be completed. Apart from filling in different blanks, it's also possible to perform other sorts of things with the PDF, including adding your own text, changing the original text, inserting graphics, placing your signature to the PDF, and much more.

This PDF will need specific info to be typed in, hence you must take your time to fill in exactly what is required:

1. When submitting the truck dispatch template, ensure to incorporate all of the necessary blank fields in the associated part. This will help expedite the work, enabling your information to be handled promptly and properly.

Completing segment 1 of blank truck trip report

2. Once your current task is complete, take the next step – fill out all of these fields - DATE, PROVINCE, HIGHWAYS, USED, STATE EXIT, NONTOLL, TOLL, GAL, VENDOR, EMPTY, LOADED, ENDING, TOTAL MILES, DRIVERCONTRACTORS SIGNATURE, and AL ALABAMA AK ALASKA AZ ARIZONA with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Stage number 2 of filling in blank truck trip report

When it comes to VENDOR and STATE EXIT, make sure that you double-check them here. Both of these could be the most significant fields in this PDF.

Step 3: Revise what you have entered into the blank fields and then press the "Done" button. Acquire the truck dispatch template the instant you join for a 7-day free trial. Instantly use the pdf file from your personal account, with any edits and changes being all preserved! With FormsPal, you can certainly fill out documents without stressing about personal data leaks or entries getting shared. Our protected platform helps to ensure that your private data is stored safely.