Vans Change & Shop Maintenance Form

Vans Change & Shop Maintenance Form

This form is For: Tech To Tech, Tech to Shop, Term to Parking, etc...
Office Location*
For Accident Forms, Insurance Cards, and Enterprise Fleet Phone # (1-800-325-8838) please visit: www.ssifleet.com

**please remember that trainees do not get vans unless they are going to class. Please fill out a jotform anytime someone goes into a van, comes out of van or even if it goes to a shop or parking location.
Is this for a trainee going to class?*

YesNo
Class Start Date

MonthDayYear
Date
Class End Date (Van Return Date for Onsite Class Training)

MonthDayYear
Date
Person Filling Out This Form*

First NameLast Name
Person Filling Out This Form Email Address*
personwantingacopy@ssidish.com
Tech Name*

First NameLast Name
Old Van # (van coming out of)*
Van # should be 6 digits long (last 6 of vin)
Old Van Location (Please tell us where the old van is currently located?")*
New Van # (van going into)*
Van # should be 6 digits long (last 6 of vin)
Need Fuel PIN*

YesNo
NOTE: Fuel card # should match the VIN # of the vehicle. The Fuel Card stays with the Van and not the individual. If you see a discrepency please let us know so that we may get the proper fuel card for that vehicle.
Old van went to shop?*

YesNo
Was the Fleet Management (Enterprise) Contacted?*

YesNo - Have the Shop contact Enterprise Fleet for approvals.
Shop Name*
Shop Location (City, State)*
Shop Phone Number (Very Important)*

Area CodePhone Number
Vehicle Problem Category*
Is the Registration Sticker Up to Date?*

YesNo
Additional Information / Problem Details (BE SPECIFIC) (ie. transmission jumping, only goes in reverse) Details Please.
Photo - Front of Van

Browse Files

Cancelof
Photo - Drivers Side of Van

Browse Files

Cancelof
Photo - Rear of Van

Browse Files

Cancelof
Photo - Passenger Side of Van

Browse Files

Cancelof
Should be Empty: