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County Vehicle Repair Request
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Employee Name
*
Return Phone Number
Example (2633120)
*
Date & Time Problem was Noticed
*
Unit Number or Department & Vehicle
*
Mileage and/or Hours
*
Basic Maintenance
Oil Change
Engine
Check for Oil, Water and Fuel Leaks
Service Engine Light is on
Knocks
Misses
Starts Hard
Overheating
Clutch
Check for Slipping or Grabbing
Check Adjustment
Tires
Repair Tire
Check Wheels and Lugs
Steering
Looseness
Shimmy
Steers Hard
Springs/Suspension
Broken
Electrical
Check Trailer Light Cord
Lights: Head, Tail, Stop, Clearance
Warning Beacon
Hydraulic System
Operation
Instrumet Panel
Oil Pressure Gauge
Ammeter
Horn
Windshield Wipers
Speedometer
Rear Axle
Noisy
Grease leaks
Transmission
Noisy
Hard Shifting
Leaks
Emergency Equipment
Fire Extinguisher
First Aid Kit
Three Reflective Triangles
Brakes
Check Trailer Connection
Parking Brakes
Service Brakes
Check for air or hydraulic leaks
Miscellaneous
Drive Line
5th Wheel safety chain, pintle hook
Door glass, windshield, mirrors
Other
* indicates required fields.
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