VOLUNTEER ONLINE TIME REPORT

(Please use a separate sheet for each month & round all times and mileage to the nearest 1/2)

An * indicates a field is required!

* Month: * Year:  
* Volunteer Name: * Volunteer Email:
Date Start
Time
End
Time
Hours Client
(full name please)
Service
(visit,chores,tran,etc.)
Mileage
(if applicable)
Total Hours:      Total Mileage:   
If you are providing transportation to a client, do you need mileage reimbursement from IVC? Yes No
          

If you have any questions, please call: (586) 757-5551

Please remember how important it is to have an accurate record of all your time.

Thank you for the few minutes you spend on this form each month -- and thanks mostly for all you do!