Annual Vehicle Logging – Collins Land Services, Inc.

Please complete this form in its entirety. This information is REQUIRED for our annual insurance audit, and must be received no later than end of day Monday, 1/13/2025.

Employee Name(Required)

First Last

Select Vehicle(Required)

VIN plate(Required)

Located inside door frame on driver’s side.

Mileage(Required)

License Plate(Required)

Collins Land Services, Inc.

Leon County License: #LCEX202001

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