Get Common Carrier Transportation Services Trip Log - Ucare - Ucare

The Common Carrier Transportation Services Trip Log is a crucial document that ensures accurate record-keeping of transportation services for UCare members. This guide provides clear, step-by-step instructions on how to effectively complete the form online.

Follow the steps to accurately fill out your trip log.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the member information in the designated fields. This includes the member’s name, UCare member ID, signature, and the date of service.
3. In the Common Carrier Provider and Driver Information section, input the organization or company name, the driver’s name, driver license number, and ensure the driver signs and dates the form.
4. For trip information, indicate whether the trip is a one-way, round trip, or multiple trips. Provide the original pick-up address along with the city, state, and zip code. Enter the pick-up time.
5. Fill in the initial drop-off address including city, state, zip code, and drop-off time.
6. If applicable, provide details for return trips, entering pick-up and drop-off addresses and times as necessary.
7. Document the total trip mileage accurately, as this is essential for record-keeping.
8. Once you have filled in all the necessary information, review the form for any errors. After verifying accuracy, you can save your changes and download or print the completed form.

Complete your Common Carrier Transportation Services Trip Log online today.