GSA1374

Motor Vehicle Petroleum Issue Record

Agency
GSA
Revision
Rev. 12/2007
Fillable fields
218
Pages
1
Official source
GSA form page
Checked
October 20, 2026
Fill GSA1374 online
Page 1 of form GSA1374

GSA Form 1374: Motor Vehicle Petroleum Issue Record

GSA Form 1374, Motor Vehicle Petroleum Issue Record, is a one-page General Services Administration (GSA) form, printed as GSA 1374 (REV. 12/2007). GSA hosts it in its forms library. GSA's page lists no authority or regulation for it, and the form prints no OMB number.

The form is a log sheet. Its header records a period from and to, and a number made up of the region, pool, pump and page. Below a Vehicle Class band, each of its 30 rows records a vehicle tag number, the mileage or odometer reading rounded to the nearest mile, the fuel in gallons rounded to the nearest gallon, the fuel type and the date. A Total row closes the sheet.

The form has no instructions, no signature block and no address, and it does not say who keeps it. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of GSA Form 1374: Motor Vehicle Petroleum Issue Record, as printed by GSA

What's on GSA 1374

Period

From and To boxes for the dates the sheet covers.

Number

Boxes for region, pool, pump and page.

Log columns

Vehicle tag number, mileage or odometer rounded to the nearest mile, fuel in gallons rounded to the nearest gallon, fuel type 1, 2 or 3, and date, under a Vehicle Class band.

Total row

A Total row at the foot of the sheet, under the 30 log rows.

How to complete GSA 1374

  1. 1

    Enter the period

    Fill in the From and To dates for the period the sheet covers.

  2. 2

    Identify the region, pool and pump

    Fill in the region, pool and pump numbers and the page number.

  3. 3

    Log each fuel issue

    For each issue, enter the vehicle tag number, the odometer reading rounded to the nearest mile, the gallons rounded to the nearest gallon, check fuel type 1, 2 or 3, and enter the date.

  4. 4

    Total the sheet

    Use the Total row at the foot of the sheet.

The form prints no instructions. These steps follow its boxes in order.

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What the form says and does not say

Where it goes

The form prints no address, routing or signature, and does not say who keeps or receives it.

Rounding

The column headings say mileage is rounded to the nearest mile and fuel to the nearest gallon.

Fuel type codes

1 for Alternative Fuels (CNG, LPG, E85), 2 for Gasoline/Unleaded Gasoline, 3 for Diesel.

Authority and OMB number

GSA's page lists no authority or regulation, and the form prints no OMB control number or Privacy Act statement.

Related forms

Who uses GSA 1374?

  • Whoever records fuel issues

    The form has no signature or name block. Each row records one issue of fuel to one vehicle, identified by its tag number.

  • A region, pool and pump

    The Number header has boxes for region, pool and pump, so each sheet is tied to one region, pool and pump, plus a page number.

  • A set reporting period

    The Period header has From and To boxes for the dates the sheet covers.

  • Vehicles by fuel type

    The form sorts each issue into one of three fuel types: 1 for alternative fuels (CNG, LPG, E85), 2 for gasoline or unleaded gasoline, or 3 for diesel.

The form does not name who completes or receives it. Its header and columns show what each sheet records.

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Questions about Form GSA1374

Who issues GSA 1374?

The form is printed as a General Services Administration form, GSA 1374 (REV. 12/2007). GSA hosts it in its forms library.

What does GSA 1374 record?

Each row records a vehicle tag number, the mileage or odometer reading, the fuel in gallons, the fuel type and the date, for a period and a region, pool and pump named in the header.

What fuel types does the form list?

1 for alternative fuels (CNG, LPG, E85), 2 for gasoline or unleaded gasoline, and 3 for diesel.

How many entries fit on one sheet?

The sheet has 30 log rows and a Total row, and the header has a page box for numbering more sheets.

Does GSA 1374 need a signature?

The form prints no signature or name block.