Salt Lake City Fire Department
ARFF Apparatus Request: 201, 202, 203, 204, 205
E-mail Address
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Work Location
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Please Select
Administration
Airport
Fire Prevention Bureau
Fleet
Medical Division
Logistics
Station 1
Station 2
Station 3
Station 4
Station 5
Station 6
Station 7
Station 8
Station 9
Station 10
Station 11
Station 12
Station 13
Station 14
Training
Requestor Name
*
Request Type
*
201 - Apparatus Repair Request
202 - Equipment Request
203 - SCBA Request
204 - Special Ops Request
205 - Headset / Firecomm / Radio
201 - Apparatus Repair Request
Priority
*
Please Select
Low
Medium
High
Apparatus Number
*
Please Select
Red 1- 132804
Reserve Red 1- 131809
Red 2- 132678
Red 3- 132550
Red 4- 133274
Reserve ARFF - 132430
Red 5 - 133149
Red 6 - 133034
ME12 - 132809
Reserve Engine 12 - 133114
SQ12- 133178
Mileage
*
Take out of service?
*
Please Select
No
Yes
Hours
202 - Equipment Request
Priority
*
Please Select
Low - Repair or replacement can wait
Moderate - Crews can make adjustments and safely accomplish assignments
Immediate - Not having this equipment for force the crew to go out of service
Request Type
*
Please Select
Lost Equipment
Damaged Equipment
Supply Request
Apparatus Number
Please Select
Red 1- 132804
Reserve Red 1- 131809
Red 2- 132678
Red 3- 132550
Red4- 132430
Reserve Red 5- 132048
Red 5 - 133149
Red 6- 133034
Red 7- 132098
Red 8- 132049
ME12- 132809
Reserve Engine 12- 133114
SQ12- 133178
Fleet Equipment Number
If applicable
203 - SCBA Request
Repair / Replacement Type
*
Please Select
Bottle
Harness
SCBA Facepiece
Request(s)
*
204 - Special Ops Request
Special Ops Needs
205 - Headset, Radio, Firecomm
Problem Description
Optionally include a photo for documentation purposes
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Apparatus Notes
To be filled out by apparatus personnel only
To be filled out by apparatus personnel only
Should be Empty: