Thank you for helping update our can trailer inventory!
This form is designed to be completed in the field and requires taking can trailer pictures or uploading can trailer photos. The form also collects details regarding location, damage, and/or maintenance needs of each can trailer.
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Address where can trailer is located.
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Fire department or business name associated with the can trailer.
*
Describe the location of the can trailer at the address (example: can trailer in side parking lot, visible from the roadway).
How do you want to add can trailer photos?
*
Upload saved photos
Take photos while completing this form
Upload pictures of all sides of the can trailer. Trailer front picture should include the trailer tongue. Trailer side pictures should include tires.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Take a photo of the FRONT of the trailer including the tongue.
Take a photo of the SIDE of the trailer including the tire(s).
Take a photo of the BACK of the trailer.
Take a photo of the OTHER SIDE of the trailer including the tire(s).
What part(s) of the trailer need repair or maintenance?
Trailer frame - includes the structural pieces that give the trailer its shape & stability.
Trailer tongue - includes the horizontal structural pieces that support the trailer frame, jack, coupler, safety chains, & wiring harness.
Tires - including wheels, bearings, & fenders.
Trailer axle(s) including leaf springs.
Tail lights
None
Other
Mark all trailer frame issues. The trailer frame includes the structural pieces that give the trailer its shape and stability.
Trailer frame is damaged
Trailer frame is significantly rusted
Metal mesh is damaged
Metal mesh is significantly rusted
Other
Mark all trailer tongue issues (including the horizontal structural pieces that support the trailer frame, jack, coupler, safety chains, & wiring harness).
Trailer tongue is damaged
Trailer tongue is significantly rusted
Jack is missing
Jack is damaged
Jack is inoperable
Coupler is damaged
Coupler is inoperable
Wiring harness is missing
Wiring harness is damaged
Safety chains are missing
Safety chains are damaged
Other
Mark any trailer tires issues, including wheels and bearings.
Tire(s) are dry-rotted
Tire(s) are flat
Tire(s) are damaged
Lug nut(s) missing
Lug nut(s) damaged
Fender(s) damaged
Wheel bearing(s) are bad (makes grinding/growling noise when trailer is moving)
Other
Mark any trailer axle(s) issues including leaf springs.
Axle(s) are damaged
Axle(s) are significantly rusted
Leaf springs damaged
Leaf springs significantly rusted
Other
Mark any trailer tail light issues.
Tail lights are missing
Tail lights are damaged
Tail lights likely do not work based on condition
Other
Describe any other trailer issues.
Does the trailer have aluminum cans in it?
*
Yes, about 1/4 full of cans
Yes, about 1/2 full of cans
Yes, about 3/4 full of cans
Yes, completely full of cans
No
Other
Do you have details about how the trailer is managed?
I know the contact person for unloading the trailer.
I know the name or location of the recycle company where the trailer is unloaded.
I know how the recycling money is routed.
I know how often is the trailer unloaded at the recycler.
No
Other
What is the contact person's name and phone number/email associated with the trailer.
What is the name or location of the recycle company where the trailer is unloaded?
How is the recycling money routed?
Recycler gives check to the person who delivered the trailer
Recycler gives cash to the person who delivered the trailer
Recycler mails check to the SC Burned Children's Fund
Recycler mails check to the fire department or company associated with the trailer
Other
On average, how often is the trailer unloaded at the recycler?
Annually
Every 6 months
Every 3 months
Every month
Every 2 weeks
Every week
Other
Provide any other information about how the trailer is managed?
Would you help manage one or more can trailer(s) in your area to support the SC Burned Children's Fund?
Yes
No
Maybe
Other
Would you help the SC Burned Children's Fund in other ways, including Camp 'Can' Do, fundraising, and other support functions?
Yes
No
Maybe
Other
Submit
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