Vehicle Maintenance Request

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To be filled out by Driver

INSTRUCTIONS TO DRIVER: Describe problem/s below. If an emergency exists, call ext. 8-5540 immediately. If not, give this form to your supervisor.

Provide description of maintenance needed:

To be filled out by Supervisor

INSTRUCTIONS TO SUPERVISOR: Fill out your portion below. If request is routine, mail this form to Transportation Services. If an emergency exists or immediate attention is required, call extension 8-5540. Work CANNOT BEGIN without this completed form.