Truck / Driver Status Change Request

Truck / Driver Status Change Request
Please Provide the requested information below to add or delete a truck or driver from your AAA Carolinas Profile. Once completed, please click submit so the form will be processed.
Facility Name*
Completed By*
Facility E-Mail*
Field Manager Name*
Date

MonthDayYear
All Facility ID Numbers*
Truck Change
ADD or REMOVE
Truck ID Number
Year/Make/Model
Truck Type

Wheel LiftFlatbedLight ServiceBattery Service
Does Truck Use D2ME/D3ME?
Driver Change
ADD or REMOVE
Driver's Legal Name (First, Middle, Last)
HireRight Date
Service Type

Battery ServiceFull ServiceLight ServiceLocksmith
Has this driver previously completed AAA calls under another towing company? If so, what was the name of the towing company?
Previous Company Training Done With
Check the AAA training courses that have previously been completed by this driver

BatteryRPST
Type of Login Needed

ITU for AndroidITU Lead Driver/Dispatcher for AndroidITU Lite for iOS
Dispatcher Account Creation
Name

First NameLast Name
Access to Pay Statements?

YesNo
Decal Ordering
Select Type Needed

PSP Tow TruckBattery TruckNon-PSP Tow Truck
# of Trucks Needing Decals
Vehicle Type
Truck Color
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Should be Empty:

Dispatcher Account Creation