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Office of Transit

For problems with this form contact Laura Garcia or call 614-466-7110

 

 Vehicle Monitoring Report

 
Grantee *

Contact Person

E-Mail *

Phone Number *

Fax Number

Street Address *

City *

State

Zip *

Project ID *

Agency Sequence # *

Vehicle Sequence # *

Vehicle Year *

Make *

Vin # *

Report Period *

Report Year *Calendar year for data being reported

Odometer Mileage *Mileage entered must be greater than mileage previously submitted.

Miles/Gallon *

Days Operated *Days in use for the period

One-Way Elderly Trips *(Over 60)

One-Way Disabled Trips *(Under 60 and includes wheelchair assisted, mentally challenged, developmentally challenged, etc.)

One-Way Other Trips *(Not elderly or disabled, includes personal care assistants)

Condition Rating *Vehicle condition rating from 1 to 5 (1 as the worst and 5 as best)

Maintenance Costs *(Round to the nearest dollar), should not include fuel costs

Number of Accidents *

Unduplicated Transportation Clients per Agency *If multiple vehicles, report same number for each vehicle. (Not trips)

ODOT Zephyr The Ohio Department of Transportation
1980 West Broad Street, Columbus Ohio, 43223
John R. Kasich, Governor | Jerry Wray, ODOT Director
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