Motor Vehicle Trip Ticket for Government Vehicles
This file contains detailed instructions and a trip ticket form for operating NIH government vehicles. Users must fill out information such as driver names, vehicle details, and trip specifics. Follow all instructions to ensure compliant use of government transportation.
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How do I fill this out?
To fill out this form, start by providing the names of all drivers and the type of vehicle needed. Enter the vehicle tag number, destination, and other trip specifics. Ensure all fields are completed and signed where required.

How to fill out the Motor Vehicle Trip Ticket for Government Vehicles?
1
Provide the names of all drivers and the type of vehicle needed.
2
Enter the vehicle tag number, destination, and date details.
3
Record the time in, time out, mileage, and total days in use.
4
Report any accidents and note any comments regarding the trip.
5
Sign the form and obtain the authorization signature before returning.
Who needs the Motor Vehicle Trip Ticket for Government Vehicles?
1
Government employees who need to use a vehicle for official business.
2
Supervisors who need to authorize vehicle use and certify fund availability.
3
Motor Pool Dispatchers who need to track vehicle use and maintenance.
4
Drivers who need to record detailed trip information and mileage.
5
Officials managing government vehicle usage and compliance.
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What are the instructions for submitting this form?
Submit the completed form along with all necessary signatures directly to the Motor Pool Dispatcher. Include any receipts for fuel, oil, and services. You may also email the scanned form to motorpool@nih.gov or fax it to (301) 496-3426. Alternatively, submit the form online through the NIH transportation portal. Ensure all entries are accurate to avoid delays in processing. Always retain a copy for your records.
What are the important dates for this form in 2024 and 2025?
Ensure you complete and submit the form for vehicle usage throughout 2024 and 2025. Dates govern vehicle reservations, usage reporting, and compliance checks.

What is the purpose of this form?
The Motor Vehicle Trip Ticket is designed for the proper management of NIH government vehicle usage. It provides a standardized method to document vehicle reservations, trip details, and driver information. Its proper use ensures compliance with government regulations and promotes responsible vehicle usage for official business.

Tell me about this form and its components and fields line-by-line.

- 1. NAMES OF ALL DRIVERS: Enter the full names of all drivers who will be operating the vehicle.
- 2. VEHICLE TAG NO.: Record the vehicle's tag number for identification purposes.
- 3. DESTINATION: Specify the destination for which the vehicle will be used.
- 4. TYPE OF VEHICLE NEEDED: Indicate the type of government vehicle required for the trip.
- 5. SIGNATURE OF AUTHORIZING OFFICIAL: An official must sign here to authorize the use of the vehicle.
- 6. DATE ISSUED/RETURNED: Record the dates when the vehicle is issued and returned.
- 7. TOTAL DAYS IN USE: Calculate and enter the total number of days the vehicle was in use.
- 8. VEHICLE ACCIDENT: Note if there was any accident while the vehicle was in your custody.
- 9. SIGNATURE OF DRIVER: The driver must sign to confirm the vehicle will be used for official purposes only.
- 10. PHONE NO.: Provide a contact number for communication purposes.
- 11. TIME IN/OUT: Enter the times the vehicle was checked in and out.
- 12. TOTAL HOURS: Calculate and record the total hours the vehicle was used.
- 13. COMMENTS: Include any relevant comments regarding the vehicle or trip.
- 14. MILEAGE IN/OUT: Document the mileage readings at the beginning and end of the trip.
- 15. FOR TRANSPORTATION BRANCH USE ONLY: Reserved for official use by the Transportation Branch to record custom charges and vehicle inspection details.
- 16. CHECK CONTENTS OF VEHICLE: Ensure all required items such as jack, spare tire, and credit card are checked and accounted for.
- 17. SIGNATURE OF DISPATCHER: Dispatcher must sign to confirm the vehicle's condition and inventory check.
What happens if I fail to submit this form?
Failure to submit this form can result in penalties and suspension of vehicle privileges. Immediate actions may include investigation and disciplinary measures.
- Penalties: Non-compliance may lead to fines or temporary suspension from using government vehicles.
- Investigation: An inquiry will be conducted to determine the cause of non-compliance and accountability.
- Disciplinary Actions: Depending on the severity, disciplinary actions including suspension or termination may be applied.
How do I know when to use this form?

- 1. Official Business Trips: Used for recording trips taken for government business purposes.
- 2. Vehicle Maintenance: Required for documenting vehicle checkouts for maintenance.
- 3. Accident Reporting: Used to detail any accidents that occur while the vehicle is in use.
- 4. Mileage Tracking: Ensures accurate tracking of vehicle mileage for official records.
- 5. Compliance Documentation: Helps maintain compliance with government vehicle usage policies.
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