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ABQ
:
(505) 256-1610
Las Cruces
:(575) 815-3054
Rio Rancho
:(505) 917-9344
Santa Fe
:(505) 469-0510
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Driver Daily Confirmations
Driver Daily Confirmations should be filled out at the end of your shift.
Driver Name
(Required)
First
Last
Manager
(Required)
First
Last
Date
(Required)
MM slash DD slash YYYY
Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Driver Route
(Required)
East Mountains
South of ABQ
West of ABQ
NW ABQ
NE ABQ
SW ABQ
SE ABQ
Rio Rancho
Santa Fe
Las Cruces
Discharges/ In-town
Number of Pickups
(Required)
List how many pickups were completed
Number of Concentrator Checks
(Required)
List how many concentrator checks were completed
Number of Deliveries
(Required)
List how many deliveries were completed
Number of Discharges
(Required)
List how many discharges were completed
Vehicle Odometer (End of shift)
(Required)
Submit vehicle mileage at the end of your shift
Driver Consent
(Required)
I agree to the Driver policy
The Driver policy states that all drivers submit to honest, on-time and accurate reporting. Failure to submit on time or submitting a false report may result in a formal write-up, which could lead to termination.
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Home
All Products
Bath Safety
Compression Wear
Men
Women
General DME
Home Respiratory
Portable Concentrators
Mobility
Wheelchairs
Standard
Light-weight
Ultra light-weight
Bariatric
Power Mobility
Sleep Therapy
CPAP
Stairlift
Lift Chairs
About Us
FAQ – Frequently Asked Questions
Contact Us
Employment
Sleep Therapy Solutions
Rentals
Online Bill Pay
Public Disclosure
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