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State of louisina form da 5211

Monthly Totals - Louisiana - doa la 2026

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The document is a vehicle log and safety checklist for state-owned vehicles in Louisiana, detailing the daily usage, maintenance, and inspection requirements. It includes sections for recording odometer readings, fuel costs, maintenance expenses, and a preventive maintenance record. The document emphasizes accurate reporting by drivers and requires supervisor approval for monthly submissions.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the Property Tag Number, VIN, Make, Model, and License Plate details at the top of the form. Ensure accuracy as these are essential for vehicle identification.
Fill in the Month and Year fields to specify the reporting period for your vehicle log.
Record the Beginning Odometer reading and Date. Then, document each trip's Ending Reading and calculate Trip Mileage accordingly.
Input Gallons of Fuel used, Fuel Cost, Maintenance & Repair Costs, and any Other Costs in their respective fields. Be sure to detail any additional costs on the reverse side if necessary.
In the Notes section, provide a brief description of each trip's purpose and locations visited. Initials are required for verification.
Finally, ensure that all entries are attested by signing where indicated. Submit this report to your supervisor within the specified timeframe.

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2015	4.8 Satisfied (122 Votes)
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Can I sign my daily vehicle mileage and fuel report form on a mobile?

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What percent is considered a total loss?

Review your settlement We considered multiple factors before determining your vehicle was a total loss. We evaluated the damage severity, age and condition of your vehicle, and the cost of repair. Your settlement amount is based on your vehicles value before the accident (actual cash value).

What is the total loss threshold in Louisiana?

If the insurer totals your car, it will pay you the vehicles actual cash value (ACV). The actual cash value is how much the car was worth just before the loss. It includes a reduction in value for depreciation, so the ACV will be less than what you paid for the vehicle, even if its relatively new.

What is the total loss percentage in Louisiana?

In Louisiana, an insurance company has the right to deem your car a total loss if the cost to fix the damage is seventy-five percent or more of the vehicles market value as determined by the most current National Automobile Dealers Association Handbook. (Louisiana Revised Statute 32:702).

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Is Louisiana in a surplus or deficit?

Louisianas State Surpluses A surplus occurs when a states revenue collections exceed its spending within a budget year. Louisiana ended the 2023-24 year with a projected $595 million surplus, according to the governors Division of Administration.

How much do they pay out for a total loss?

Youre referring to the total loss threshold. After an accident, if repairing a damaged car will cost close to its actual cash value say, 75% or more then the insurer may consider the car totaled. This threshold varies by state but is typically 60% to 100%.