SOP 104.41-att-1: Personal Use of State Vehicle Form

Division:
Administrative & Finance
Effective Date:
March 15, 2009
Reference Code:
IVO11-0009
Topic Area:
104 Policy-HR Payroll/Compensation/Salary
PowerDMS:
View on PowerDMS
Length:
134 words

Summary

This form tracks and documents an employee's personal use of assigned state vehicles for the month, including one-way trips, round trips, and state business driving. Employees must record their daily vehicle usage and certify the accuracy of their records. The completed form is submitted to Central Personnel Administration by the 10th of the following month for compensation purposes based on the mileage rate schedule ($1.50 per one-way trip, $3.00 per round trip).

Key Topics

  • state vehicle usage
  • personal vehicle use
  • mileage reimbursement
  • vehicle allowance
  • state vehicle tracking
  • employee compensation
  • monthly vehicle log
  • commute reimbursement
  • state business mileage

Full Text

GDC-SOP IVO11-0009
Attachment 1
Revised 3/15/09
GEORGIA DEPARTMENT OF CORRECTIONS
PERSONAL USE OF OFFICIAL STATE VEHICLE

NAME EMPLOYEE ID#: ___________________________

ASSIGNED WORK PLACE FOR THE MONTH OF _____________________________

Check the Appropriate Box for Each Day of the Month

|Col1|1|2|3|4|5|6|7|8|9|10|11|12|13|14|15|16|17|18|19|20|21|22|23|24|25|26|27|28|29|30
31|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|Drove State Vehicle
One Way
||||||||||||||||||||||||||||||
|
|Drove State Vehicle
Round Trip||||||||||||||||||||||||||||||
|
|Drove on State Business
(other than driving from
Home to Work and
Back)
||||||||||||||||||||||||||||||
|

Number of One-Way Trips @ $1.50 ea.=$

Number of Round Trips @ $3.00 ea.=$

I Certify that the above reflects the accurate usage of the State Vehicle assigned to me during this month.

Employee's Signature Date _________________________________

Division Reviewer's Signature Date ___________________________
Due in Central Personnel Administration by the 10th of the following month.

Attachments (1)

  1. Personal Use of State Vehicle Form (134 words)
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