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Vehicle Verification
Travelers Vehicle Report
Please complete this form if you are driving and need an advanced payment and staying at a hotel that B&B Staffing is paying for on your behalf. You are expected to have full coverage insurance on any vehicle on the hotel property. B&B Staffing is not responsible for any claims related to lost, stolen, ticketed, or damaged property made by vehicle.
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Travelers Name
*
First
Last
Email
*
Make and Model of Vehicle
*
Color of Vehicle
Tag Number
*
Are you/Did you drive with someone?
*
Yes
No
If you drove with someone, please list their name.
*
If you drive alone, please print ALONE
Your starting Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Ending Destination
City/State or Hotel Name and City and State
Proof of Vehicle on location
*
Click or drag a file to this area to upload.
Please provide a photo of today's date on your phone and the car tag, car must be registered in your name or the person you stated (like a relative, etc.).
Signature
*
Clear Signature
Your signature attests that everything above is correct and true, any fraudulent reports of travel will render a refund of travel pay and any administrative costs.
Submit
94073