Monthly Vehicle Inspection Form - 2024
*Due 1st Friday of a full week each month.
Driver Name
First Name
Last Name
Select Your FSM
Please Select
Allen Garcia
Jason Sellers
Will Barker
Josh Dunkle
James Estep
Eric Moseby
Aaron Fuqua
Jason Kyser
David Carrell
Jerry Stivers
JR Winebarger
Frank Gonzales
David Gibbs
Troy Kopel
Last 6 of the VIN
Odometer
Date Submitted
*
-
Month
-
Day
Year
Date
Full Front Pic of Vehicle
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Full Passenger Side of Vehicle
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Full Rear Pic of Vehicle
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Full Driver Side of Vehicle
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Interior Photo (Must see Both Seats & Floorboards - take angled down)
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Full Rear Interior Photo of Vehicle
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Photo of Properly Mounts Phone Mount
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Photo of Installed Samsara Camera
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Penny Test - Do you have any tires that need replaced? (add which in notes)
Yes
No
Getting Close
NOTES (if you have any direct issues - (please contact Fleet@ssidish.com or your FSM)
Submit
Should be Empty: