University Of Connecticut
Motor Vehicle Monthly Mileage Report
Use this form to record monthly mileage's for all University vehicles.
Record all departmental vehicles on this form.
Month:           Department:
Vehicle
Plate #		 Beginning
Mileage		 Ending
Mileage		 Total Monthly
Mileage		 Emissions
Sticker Expires
Verify that the above vehicles were utilized according to the University Regulations
Department Head/Director:           Date: May 16, 2008
Use of University Vehicles for personal use is prohibited
Users are responsible for complying with the University's policies on vehicle use