Company Vehicle Fuel Expense Claim
Employee Name
Employee ID
Department
Vehicle Registration No.
Vehicle Make/Model
Date of Claim
Fuel Purchase Details
Date
Fuel Type
Amount (Liters)
Total Cost
Receipt Number
Vendor/Station
Notes
Petrol
Diesel
Petrol
Diesel
Total Amount Claimed
Remarks
Employee Declaration
I hereby declare that the information provided is true and the expenses claimed are valid.
Employee Signature
Date