Mr Rooter Vehicle Sign In/Out Form
Use this form for indefinite, or daily sign in/out of all Mr Rooter Trucks
Technician Name:
*
Today's Date
*
-
Month
-
Day
Year
Date
Vehicle Number:
*
Vehicle Sign IN or OUT
Sign IN
Sign OUT
Is Sign In/Out Indefinite?
*
Yes
No
Day Use Description
Expected Return Day
-
Month
-
Day
Year
Date
Required Fluid Checks
*
Rows
Good
Bad
Oil Level
Oil Condition
Transmission Fluid Check
Coolant Fluid Check
Odometer Reading:
*
Notes About This Vehicle / Body Damage:
Windshield Has:
*
No damage
Some chips / minor cracks
Major cracks / visibility issues
Box van?
Yes
No
Vehicle Cab is Clean:
*
Yes
No
Rear Inside
Upload File(s)
Cancel
of
Inside Cab
Upload File(s)
Cancel
of
Front
Upload File(s)
Cancel
of
Left Side
Upload File(s)
Cancel
of
Right Side
Upload File(s)
Cancel
of
Rear/Bed
Upload File(s)
Cancel
of
Key Issued?
*
Yes
No
Key Issued By:
Technician Signature (By signing here I assume responsibility of the above listed vehicle for the time amount specified. If using for the day I agree to have truck cleaned and emptied of all trash and debris before 7:00 AM following morning:
*
Yard Verification Signature: (By signing here I acknowledge the above listed vehicle and it's current condition to the above specified technician
*
Submit
Should be Empty: