Run Charter Trip Manifest — Free

Trip Information

Trip Date (required)

Date the charter trip departs.

Trip / Group Name (required)

Name of the group or event associated with this charter.

Departure Location (required)

Full address or name of the pickup location.

Destination (required)

Full address or name of the drop-off destination.

Scheduled Departure Time (required)

Scheduled Return Time

Leave blank if this is a one-way trip.

Trip Type (required)

Charter Order / Booking Number

Reference number from dispatch or booking system.

Vehicle & Driver Information

Vehicle / Coach Number (required)

License Plate Number (required)

Seating Capacity (required)

Maximum passenger capacity of this vehicle.

Driver Full Name (required)

Driver Employee ID

Driver Mobile Phone (required)

Direct contact number for the driver during the trip.

CDL License Number (required)

Commercial Driver's License number as required for charter operations.

Relief / Second Driver Name

Group Coordinator

Group Coordinator / Trip Leader Name (required)

Organization / Company

Coordinator Phone (required)

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 (required)

Total number of passengers boarding. Must match the number of rows completed in the roster below.

Passenger Roster (required)

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? (required)

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 (required)

Yes No N/A

All passengers are seated and seatbelts fastened (if equipped) (required)

Yes No N/A

Luggage and cargo are properly stowed and secured (required)

Yes No N/A

Emergency exits are unobstructed and functional (required)

Yes No N/A

Safety briefing (exits, emergency procedures) provided to passengers (required)

Yes No N/A

Pre-trip vehicle inspection completed and no defects noted (required)

Yes No N/A

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 (required)

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 (required)

Date Signed (required)

Post-Trip Notes (completed after return)

Complete this field upon return before submitting paperwork to dispatch.

Odometer Reading at Return

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Run: Charter Trip Manifest

Trip Information

Vehicle & Driver Information

Group Coordinator

Passenger Roster

Pre-Departure Checklist

Driver Sign-Off

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