COS Vehicle Mileage Form
Please complete at time of travel
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Driver's First Name *
Driver's Last Name *
Driver's ODU Email *
PI or Instructor Name *
Is this for.... *
Has everyone in the vehicle filled out the Assumption of Risk form?  *
Required
Vehicle being used *
Are you returning or leaving campus? *
Mileage *
Did your route incur any tolls?  *
Tolls incurred:
How much gas is left in the tank?  *
Did you encounter or notice any mechanical issues? Ex. windshield wipers or windows not working, weird noise, etc.
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