Fl
eet Management Maintenanc
e Request
Date of Request
*
/
Month
/
Day
Year
Date
Requesting Party
*
Email
example@example.com
Work Location
*
Description of work/repair
*
Requested Priority
High - ASAP
Medium - Within a week.
Low – When you get a chance.
For Office Use Only:
Date Reviewed
/
Month
/
Day
Year
Date
Priority Assigned
Authorized By
Comment
Date Work Completed
/
Month
/
Day
Year
Date
Number of Days to Complete
Work Assigned To
Submit
Should be Empty: