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SUSTAINABLE TRANSPORTATION LOG Name: Month S M T W TH F S S M T W TH F S S M T W TH F S Indicate the mode of transportation used on the log, using the following abbreviations: E= Electric P= Public Transit C = Car Pool B = Bicycle W= Walk H= Hybrid I certify that during the past three consecutive months I used an alternative form of transportation an average of four times per week or eighty percent (80%) of my scheduled work days, to get to or from work and am hereby eligible to receive a cash incentive. Employee Date: Supervisor Signature: Date: HR Use Only HR Approval: Approved Benefit: SIGN SIGN