NS Wheelers  – SELF-DRIVE MINIBUS HIRE LOGSHEET

HIRE DATA (To be completed by driver)

HIRE DETAILS

OFFICE USE

Start Mileage

 

Group

 

Booking code

 O/O    R

Finish Mileage

 

Driver

 

Invoice No.

 

Total Hire Mileage

 

Reg. No.

 

Hire charge

£

No. of passengers

 

Date out

 

Time out

 

Excess charges

£

No. of wheelchair users

 

Date in

 

Time in

 

Sub-total

£

Passenger lift used

   Y        N

Charge for this hire is 70p per mile

Less fuel

£

Fuel purchased

£

 

Total charge

£

DRIVER’S DECLARATION

DRIVER’S NOTES

I understand that:

a)       I must inspect the minibus before and  after the hire, and note any damage or defect on the reverse of this logsheet.

b)       I am responsible for the payment of  any parking fines/penalties and any fines levied against me that result from a conviction in association with my use of this minibus.

I am responsible for the insurance excess as stipulated by the North Salop Wheelers Insurers

c)       I must notify NS Wheelers  of any material changes to my driving licence before driving a NS Wheelers   minibus.

d)       I must comply with the Blue Badge           regulations.

e)       I must abide by the terms and conditions of The operating permit allocated to  NS Wheelers  by the CTA

 

signed…………………………………………..

 

NS Wheelers Ltd. Co. No. 7342104 Reg. at Companies House, Cardiff
Reg. Offices: Brockhurst Farm, Aston, Wem, Shropshire, SY4 5SB

 

1.            Please use the reverse of this logsheet to notify if any items are used from the First Aid Kit.

 

2.           Receipts must be obtained for any fuel, oil or parts purchased, and returned with this logsheet.

 

3.            In the event of an accident or breakdown, Contact NS Wheelers  Directly on  

  • 01948 880 037
  • 01939 232425
  • 01948 840 902