To submit this form, fill out all required fields accurately and attach all necessary fuel receipts. Once completed, submit the form via the appropriate channel for your organization or jurisdiction. This may include submitting online through a designated portal, via email to the provided address for fuel tax submissions, sending a fax to the appropriate number, or mailing the completed form to the designated physical address. Consult your organization's guidelines or the guidelines provided by the relevant tax authority to ensure proper submission.

Important dates for this form in 2024 and 2025 include quarterly submission deadlines for IFTA and IRP reports: January 31, April 30, July 31, and October 31. Ensure all required information is submitted by these dates to maintain compliance.

The purpose of this form is to help drivers and businesses track their vehicle mileage and fuel consumption for state fuel and road tax purposes under the International Fuel Tax Agreement (IFTA) and International Registration Plan (IRP). Accurate record-keeping is essential for calculating the taxes owed to various states and provinces where the vehicle operates. This form allows users to enter detailed information about each trip, including odometer readings, trip origins, destinations, and fuel consumption. By maintaining accurate and up-to-date records, users can ensure compliance with IFTA and IRP regulations, avoid penalties, and properly allocate taxes owed to each jurisdiction. In addition to assisting with tax reporting, this form also helps with overall fleet management by providing valuable insights into fuel efficiency, vehicle usage, and trip patterns. This information can be used to optimize routes, manage fuel costs, and improve operational efficiency.

• 1. Tractor #: The unique identifier assigned to the vehicle.
• 2. Drivers name: The full name of the driver operating the vehicle.
• 3. Beginning odometer: The odometer reading at the start of the trip.
• 4. Ending odometer: The odometer reading at the end of the trip.
• 5. Total odometer miles: The total mileage covered during the trip, calculated by subtracting the beginning odometer reading from the ending odometer reading.
• 6. Date: The date of the trip.
• 7. State: The state in which the trip occurred or was completed.
• 8. Odometer Start: The odometer reading at the start of the state line.
• 9. Odometer End/Exit: The odometer reading when exiting the state line.
• 10. Miles per state: The total miles traveled within each state.
• 11. Origin: The starting location of the trip.
• 12. Destination: The ending location of the trip.
• 13. Route of travel: The specific route or highway used during the trip.
• 14. Fuel Station Name: The name of the fuel station where the fuel was purchased.
• 15. Gallons: The number of gallons of fuel purchased.
• 16. Invoice #: The invoice number associated with the fuel purchase.
• 17. Monthly/Quarterly Totals: The total mileage and fuel consumption for the month or quarter.

Failure to submit this form can result in non-compliance with state and federal regulations, leading to potential penalties and fines. It is crucial to maintain accurate records and submit the form on time to avoid these consequences.

• Non-compliance penalties: Penalties may be imposed for failing to comply with IFTA and IRP requirements.
• Fines: Financial fines may be levied for incomplete or incorrect submissions.
• Operational delays: Delays in operations may occur due to non-compliance issues.

• 1. Interstate travel: Use this form to record trips that cross state lines.
• 2. Fuel purchases: Record all fuel purchases to accurately calculate consumption.
• 3. Mileage tracking: Track the total mileage covered during each trip.
• 4. Monthly/Quarterly reporting: Use this form to compile data for monthly or quarterly IFTA and IRP reports.