Rental Car and Loss-of-Use Expense Log (Free PDF)
Track every day you were without your vehicle and every cost that came with it. Keep receipts. Most policies cap rental coverage per day and in total — note those limits at the top.
Fillable on screen or printable · no email or sign-up · last reviewed 2026-09-29 by David Bennett
When to use it
- Your car is in the shop or being evaluated as a total loss and you're paying for a rental or other transport.
- You're claiming loss of use from the at-fault driver's insurer.
What the form asks for
- Claim number · Date vehicle became unusable · Date repaired / settled
- Policy rental limit per day ($) · Policy rental limit total ($) · Rental company
- A 16-row table: Date · Rental cost ($) · Other transport (rideshare, transit) ($) · Receipt? (Y/N) · Notes
- Total rental ($) · Total other transport ($) · Total claimed ($)
How to fill it in
- Write your policy's rental limits at the top — per day and total. They're on your declarations page.
- Log each day: rental cost, any other transport (rideshare, transit), whether you have a receipt, and notes.
- Keep every receipt. Totals at the bottom become the amount you claim.
- Check your figures with the Loss of Use calculator before you submit them.
Frequently Asked Questions
What is loss of use in a car insurance claim?
Compensation for the time you couldn't use your vehicle because of the damage — typically rental car costs, or a daily amount if you didn't rent. It's usually claimed from the at-fault driver's insurer; your own policy's rental coverage has its own limits.
How long will insurance pay for a rental car?
Your own policy's rental coverage sets a daily and total limit. A claim against the at-fault driver's insurer is generally for a reasonable repair or replacement period. Delays you document may support a longer period.