Skip to main content

Documents for Download

Document Title Description
Emergency Ride Home Reimbursement Form

Download

Print & complete this document within 14 days of utilizing an Emergency Ride Home to receive a full reimbursement of your taxi, transit, or transportation network company ride (such as Lyft or uber). You must be registered with us as a carpool, vanpool, bikepool, or transit user to enjoy the ERH benefit.  

Employer Commute Handbook
Employer Resources
Download

Employer Commute Handbook

New Vanpool Forming

Download

Use this form to start a new vanpool! Spaces are provided for schedule and location as well as a roster for signing up vanpool members.  Work with Elizabeth Bowling Schiller (elizabethbowling.schiller@kipda.org) to start forming a new vanpool today!

Vanpool Complaint

Download

In the unfortunate event you need to submit a complaint involving an Every Commute Counts vehicle and/or driver, please complete and submit this form. You can email it to safety@everycommutecounts.org.  

Vanpool Driver Vacation & Leave Form

Download

Please complete and submit this form if you are the primary driver (drive 75% or more of the time), and are going on vacation or leave in order to not be charged as a passenger for the month.  

Vanpool Guide

Download

This document is referenced in the Membership & Driver Terms and Conditions. It explains the operations, policies, and other information concerning the Vanpool Program. 

Vanpool Member & Driver Agreement

Download

Complete this form to join a new or existing vanpool, to update your member information (such as address or telephone number), or to apply to become a vanpool driver after you've become a vanpool member.  You may save it as a PDF and email it to info@everycommutecounts.org, or print it and complete it, and then scan, email, fax (502.266.6032), or mail it to us at KIPDA, Every Commute Counts, 11520 Commonwealth Drive, Louisville, Kentucky, 40299.   

Vanpool Member Cancellation Form

Download

If you are cancelling your vanpool membership or switching from one vanpool to another, please complete and submit this form fifteen (15) or more days prior to your last day of riding with your current vanpool.  You may complete it and email it info@everycommutecounts.org, fax it to us at 502.266.6032, or mail it to us at KIPDA, Every Commute Counts, 11520 Commonwealth Drive, Louisville, Kentucky,  40299.   

Vanpool Monthly Fleet Card & Oil Purchase Report

Download

REQUIRED FOR MONTHLY VANPOOL REPORTING.

Complete this form each month for all fuel and oil purchases using either the Fleet card issued and/or the Valvoline account. When emailing the form, please send it to billing@everycommutecounts.org.  Attach a scan of all of the receipts in addition to the completed form.   

Vanpool Monthly Mileage Log & Vehicle Assignment

Download

REQUIRED FOR MONTHLY VANPOOL REPORTING.

Print & use this form to track monthly mileage and vehicle assignment. Then input the info electronically by logging on to www.everycommutecounts.org. 

Vanpool Monthly Non-Revenue Trips Log

Download

REQUIRED FOR MONTHLY VANPOOL REPORTING.

Print & use this form to track the van assignment, mileage, and trip purpose for any non-revenue trips. Non-revenue trips are any trips using the van outside of commute trips, such as for fueling, oil changes, and/or personal miles. 

Vanpool Monthly Ridership & Driver Log

Download

REQUIRED FOR MONTHLY VANPOOL REPORTING.

Print & use this form to track vanpool ridership and drivers for each month. This is the SINGLE PAGE version. 

Vanpool Monthly Ridership & Driver Log

Download

REQUIRED FOR MONTHLY VANPOOL REPORTING.

Use this form to help track ridership and drivers for each month. This is a weekly version that contains five pages (one for each week) for each month. 

Vanpool Safety Requirements
Safety Requirements as of May 1, 2020
Download

Vanpool Safety Requirements as of May 1, 2020

Any questions or concerns, please email us at info@everycommutecounts.org 

Vanpool Van Damage Report

Download

Download and complete this form in the unfortunate event a van is damaged (i.e., crash, accident, theft, vandalism, etc.). Upon completion, email the form to info@everycommutecounts.org. 

Vanpool Vehicle Service Request

Download

Please complete and email this form to maintenance@everycommutecounts.org to inform us of any vanpool non-emergency maintenance issues.  If there is an immediate need for maintenance, please call our maintenance number at 502-475-2196.

Vanpool-Related Expense Report

Download

 AS NEEDED FOR MONTHLY VANPOOL REPORTING.

This form is optional for monthly vanpool reporting becuase it only needs to be used when expenses are made out of pocket (not made using the fleet card or Valvoline account) by a vanpool member and that person needs to be reimbursed.  This may include getting the van washed, getting a tire repaired, purchasing fuel using a personal means of payment because the fleet card was not cooperating or had been lost or stolen, etc. It must be completed and mailed to Every Commute Counts with the original receipts, so please make a copy of the receipts for your records.