SSN Drive Information Collection Form
Last updated: 3 November 2019 05:00
Important:    Any field with a red border has incorrect data inputted and will stop the form being submitted.
Please check carefully what you have entered in the fields with a red box!

Important:   Please submit ALL one-way trips as a separate form.
                       Communify two-way trips require two forms to be submitted.
THIS FORM IS CURRENTLY BEING COMPLETED AS A
TWO-WAY TRIP.
Please complete Total Km Travelled and Client Contributions as combined total for the entire two-way journey.
THIS FORM IS CURRENTLY BEING COMPLETED AS A ONE-WAY TRIP ONLY.
Please only provide details for one-way.
The two-way trip trip option is available when you select a Drive Type other than Communify.

Drives with Clients on board: Private Communify    
Tick if this was also a Group Social Outing drive:
Group Social Outing
Drives with no Clients on board:
Equipment Transport   Food Transport Client Visitation Training/Mtgs 
Private vehicle             Communify car  Tick one
Private Drive
Two-Way Trip
Tick here ONLY if this was a two-way trip for the same client(s) to and from the same destination(s).
     OR:    
For multiple Clients, select one and then the others by using Ctrl+click (Command+Click on MAC) for multiple selections.
For one Client, select from list - type 1st character of Client last name, and keep pressing it to step through the options.
Pickup Time and Date: (Just click and press enter for todays date)
 
Select from dropdown list. If not in dropdown list please select  "Name not in list"  at the end and put details in the next box.
 
Select from dropdown list. If not in dropdown list please select  "Name not in list"  at the end and put details in the next box.
Communify Visit Ids:
Total Km travelled:       Required for all drives EXCEPT in Communfy Car.
Enter whole number only. Round up to nearest km. For two-way Private drives enter the combined mileage.
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