Part to be filled by the company:

Company name

Street

Postal code

City

Country

Telephone number:(including country code)

Fax number:(including country code)

Email address

The undersigned

Surname and name

Current position in company

I' declare that the driver

Surname and name

Date of birth

Driving license number, ID number or passport number

Working in the company since

For the period

day/month/year

hour (hh:mm)

day/month/year

hour (hh:mm)

s-a aflat in concediu medical

s-a aflat in concediu de odihna

se afla in concediu sau in repaus

conducea un vehicul exclus din domeniul de aplicare al Regulamentului (CE)nr. 561/2006 sau al AETR

desfasura o alta activitate decat condusul

era disponibil

Place of filing

Filing date

Confirmare

The undersigned, driver, I confirm that I did not drive a vehicle that falls within the scope of Regulation (EC) no. 561/2006 or AETR, during the period indicated above

Place of filing

Filing date

Activity Log Germany (<3.5 to)

Jurnalul zilnic de activitate este cerut de polita germana soferilor de vehicule cu masa totala maxima autorizata mai mica de 3,5to, deci fara tahograf si fara obligativitatea respectarii timpilor de conducere.

Example Download form

AETR Attestation of activities

You do not have any saved AETR Attestation of activities

Part to be filled by the company:

The undersigned

I' declare that the driver

For the period

Confirmare

Activity Log Germany (<3.5 to)

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