Mechanic Form
Report a vehicle or equipment mechanical issue to be addressed. Each report is evaluated and If it is determined that the request is a non-safety issue and the vehicle is safe to operate it will remain in service until the request can be repaired or corrected.
Date
Completed by:
*
Email:
Equipment ID:
*
Vehicle ID:
Please Select
BAC
Wheelchair
Nature of issue
Brakes
Camera
Dead Battery / Wont start
Fluid Leak
Headlight
Interior Cooling
Interior Heating
Noise
Tire Pressure
Windshield / Mirrors
Other
Vehicle Mileage
required for reports on vehicles
Issue being reported
*
Description of Issue
I was doing _____ and _____ happened.
Has the vehicle been placed out of service because of this report?
*
Yes
No
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