Charter Trip Manifest

Records all passengers aboard a charter trip with names, contact details, and trip information for headcount verification and emergency response. Returned with trip paperwork after the run.

Trip Information

• Trip Date
  Date the charter trip departs.
• Trip / Group Name
  Name of the group or event associated with this charter.
• Departure Location
  Full address or name of the pickup location.
• Destination
  Full address or name of the drop-off destination.
• Scheduled Departure Time
• Scheduled Return Time
  Leave blank if this is a one-way trip.
• Trip Type
• Charter Order / Booking Number
  Reference number from dispatch or booking system.

Vehicle & Driver Information

• Vehicle / Coach Number
• License Plate Number
• Seating Capacity
  Maximum passenger capacity of this vehicle.
• Driver Full Name
• Driver Employee ID
• Driver Mobile Phone
  Direct contact number for the driver during the trip.
• CDL License Number
  Commercial Driver's License number as required for charter operations.
• Relief / Second Driver Name

Group Coordinator

• Group Coordinator / Trip Leader Name
• Organization / Company
• Coordinator Phone
• Coordinator Email
• On-Site Emergency Contact (if different from coordinator)
  Person reachable at the destination or event site during the trip.

Passenger Roster

• Confirmed Passenger Count
  Total number of passengers boarding. Must match the number of rows completed in the roster below.
• Passenger Roster
  Enter one row per passenger. Seat number is optional but recommended for emergency response. Mark any passengers with special needs or medical considerations in the Notes column.
• Passenger Type Key
  Use the following codes in the Type column — A: Adult, M: Minor (under 18), S: Senior (65+), C: Chaperone/Staff, ADA: Requires accessibility accommodation.
• Are any passengers requiring ADA / accessibility accommodations aboard?
• ADA Accommodation Details
  Required if ADA passengers are present. Document accommodations provided per ADA Title III requirements.

Pre-Departure Checklist

• Passenger headcount matches confirmed count on manifest
• All passengers are seated and seatbelts fastened (if equipped)
• Luggage and cargo are properly stowed and secured
• Emergency exits are unobstructed and functional
• Safety briefing (exits, emergency procedures) provided to passengers
• Pre-trip vehicle inspection completed and no defects noted
• Defect or Exception Notes
  Required if any pre-trip inspection item has a defect or exception. Document per FMCSA 49 CFR 396.11.

Driver Sign-Off

• Actual Departure Time
• Odometer Reading at Departure
• Driver Certification Statement
  By signing below, I certify that the passenger count and information recorded on this manifest are accurate to the best of my knowledge, that the pre-departure checklist has been completed, and that this vehicle departed in a safe and roadworthy condition.
• Driver Signature
• Date Signed
• Post-Trip Notes (completed after return)
  Complete this field upon return before submitting paperwork to dispatch.
• Odometer Reading at Return