Vehicle Sign out Sheet

I have reviewed a copy of the company handbook and acknowledge that I am responsible for ½ of the insurance deductible should anything happen to the vehicle assigned to me. I will be responsible for this vehicle and will report any damage, however slight, immediately to my manager. I also acknowledge that this vehicle is for company use only.

Please note any damage to the vehicle on the above pictures when you receive your company vehicle. I give the company permission to deduct ½ the insurance deductible from my pay.

I have been assigned Vehicle # _________________ Mileage is_____________

_________________________ ___________________ _________ ___________________________ _____________

Employee Signature Employee printed name Date Manager signature Date FOR OFFICE USE ONLY

This vehicle was returned in same condition (with the exception of reasonable wear and tear) as when it was issued. _____________________________ ___________ Manager Signature Date