Desert Fleet-Serv Vehicle Repair Order
Desert Fleet-Serv Vehicle Repair Order
Vehicle Repair Order
7028 W. Van Buren
Phoenix, AZ 85043
Phone: (602) 437-7231
FAX: (602) 437-7232
Desert Fleet-Serv Vehicle Repair Order
Dispatch Ticket #
*
PO Number
Service Call/Truck #
Add/On
Customer Name
ABC Avondale
ABC Glendale
ABC Mesa
Ace Mobile
Agility
Airgas Dry Ice, Inc.
Allied Gases
Allied Packaging
ALC Casa Grande
ALC Glendale
ALC Queen Creek
American Shredding/ Green Planet
Apodaca
Apria Healthcare Gilbert/Penske
AZ Best Block
AZ Rain
Beacon Glendale
Beacon Mesa
Beacon Phoenix
Beacon Prescott
Bedrosians
Blue Rhino
Bralco Metals
BrightView
Builders Tempe
Builders Tolleson
Builders Tucson
Cactus Stone & Tile - East
Courier Graphics
Desert Fleet Serv-Inc.
DKB
Factory Motor Parts Phoenix
Factory Motor Parts Mesa
Farr Delivery
Ferrellgas
Ferrellgas Tucson
Fortiline Waterworks
Foundatio Building Materials
FNF Construction
FBM Avondale
Graybar
Greenfiber
Harder Mechanical
Hartung Glass Industries
HomeDelivery/ Truline Phx
HomeDelivery/ Truline Tucson
Core and Main Fire
In-N-Out Burger
International Paper
L & W Tucson
Linde Electronics
LKQ Phoenix
M.D. Pruitt's Fine Home Furnishings
Marshall Installation
Matthews Aurora
Mears
Mobile Mini
Next Med
Pacific Supply
Pack-Rat/ Zippy Shell
Package Runner
Praxair
Quench Fine Wines
Rice Construction
Riddle Roll Off
Samons Bros
Senergy
Service Partners
Shred-It USA LLC
Stericycle
Stericycle/Commercial Trailer Leasing
Stericycle Tucson
Stericycle Tucson Lease
Suburban Propane
Sunstate Equipment
Tarr, LLC
Truline Corporation
Truline/Home Delivery N.
TRW
Tube Service
Van De Pol
Customer Name (Other)
Date of Repair
Date of Repair
*
/
MM
/
DD
YYYY
License #
Make/Model
*
Year
*
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
0000
Unit / Vehicle #
*
VIN
*
Must be between
17
and
18
characters.
Currently Entered:
0
characters.
Mileage
*
Engine Hours
*
Technician Name
*
Abe
Angie
Dillon
Duck
Hayden
Javier
Joey
Josh
Loren
Miguel
Mike
Rory
Ty
Second Technician
Abe
Andres
Angie
Dillon
Duck
Hayden
Javier
Joey
Josh
Loren
Miguel
Mike
Rory
Ty
DOT Expires (Month & Year)
Month (1 or 2 two digits)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Year (4 digits like 2015)
*
Maximum of
4
digits allowed.
Currently Entered:
0
digits.
Attach a Photo to This Report:
Attach Files
Customer's Information
Repair Status (Required):
*
Repair Status (Required):
RED TAGGED
PENDING
COMPLETED
Performed DOT?
*
Performed DOT?
Yes
No
Attach Customer Form
Upload a File
*
Attach Files
Performed PM?
*
Performed PM?
Yes
No
YES, Performed PM?
Upload a File
*
Attach Files
Brake Depths
Steer Axle
(L)
Steer Axle
(R)
1st Drive Axle
(L)
1st Drive Axle
(R)
2nd Drive Axle
(L)
2nd Drive Axle
(R)
3rd Drive Axle
(L)
3rd Drive Axle
(R)
Tag Axle
(L)
Tag Axle
(R)
Choose ALL Complaints For This VRO:
Choose ALL Complaints For This VRO:
1) COMPLAINT
2) COMPLAINT
3) COMPLAINT
4) COMPLAINT
5) COMPLAINT
6) COMPLAINT
7) COMPLAINT
8) COMPLAINT
9) COMPLAINT
10) COMPLAINT
11) COMPLAINT
12) COMPLAINT
13) COMPLAINT
14) COMPLAINT
1) COMPLAINT:
Does COMPLAINT 1 Involve a Lift Gate?
Does COMPLAINT 1 Involve a Lift Gate?
Yes
No
Lift Gate Serial Number (Complaint 1):
CAUSE / CURE:
Were part(s) used on Complaint # 1
*
Were part(s) used on Complaint # 1
Yes
No
Customer supplied
Number of Parts used for Complaint 1?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 1:
Qty (C1-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C1-P1)
(Part 1 Name)
*
Part # (C1-P1)
(Part 1 Number)
*
(C1-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C1-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C1-P2)
(Part 2 Name)
*
Part # (C1-P2)
(Part 2 Number)
*
(C1-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C1-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C1-P3)
(Part 3 Name)
*
Part # (C1-P3)
(Part 3 Number)
*
(C1-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C1-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C1-P4)
(Part 4 Name)
*
Part # (C1-P4)
(Part 4 Number)
*
(C1-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Qty (C1-P5)
(Part 5 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C1-P5)
(Part 5 Name)
*
Part # (C1-P5)
(Part 5 Number)
*
(C1-P5) Source?
(Part 5 Source)
*
Truck
Shop
Vendor
Qty (C1-P6)
(Part 6 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C1-P6)
(Part 6 Name)
*
Part # (C1-P5)
(Part 6 Number)
*
(C1-P6) Source?
(Part 6 Source)
*
Truck
Shop
Vendor
Qty (C1-P7)
(Part 7 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C1-P7)
(Part 7 Name)
*
Part # (C1-P7)
(Part 7 Number)
*
(C1-P7) Source?
(Part 7 Source)
*
Truck
Shop
Vendor
Qty (C1-P8)
(Part 8 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C1-P8)
(Part 8 Name)
*
Part # (C1-P8)
(Part 8 Number)
*
(C1-P8) Source?
(Part 8 Source)
*
Truck
Shop
Vendor
Qty (C1-P9)
(Part 9 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C1-P9)
(Part 9 Name)
*
Part # (C1-P9)
(Part 9 Number)
*
(C1-P9) Source?
(Part 9 Source)
*
Truck
Shop
Vendor
Qty (C1-P10)
(Part 10 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C1-P10)
(Part 10 Name)
*
Part # (C1-P10)
(Part 10 Number)
*
(C1-P10) Source?
(Part 10 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 1
*
2) COMPLAINT:
*
Does COMPLAINT 2 Involve a Lift Gate?
Does COMPLAINT 2 Involve a Lift Gate?
Yes
No
Lift Gate Serial Number (Complaint 2):
CAUSE / CURE:
Were part(s) used on Complaint # 2?
*
Were part(s) used on Complaint # 2?
Yes
No
Customer supplied
Number of Parts used for Complaint 2?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 2:
Qty (C2-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C2-P1)
(Part 1 Name)
*
Part # (C2-P1)
(Part 1 Number)
*
(C2-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C2-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C2-P2)
(Part 2 Name)
*
Part # (C2-P2)
(Part 2 Number)
*
(C2-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C2-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C2-P3)
(Part 3 Name)
*
Part # (C2-P3)
(Part 3 Number)
*
(C2-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C2-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C2-P4)
(Part 4 Name)
*
Part # (C2-P4)
(Part 4 Number)
*
(C2-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Qty (C2-P5)
(Part 5 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C2-P5)
(Part 5 Name)
Part # (C2-P5)
(Part 5 Number)
*
(C2-P5) Source?
(Part 5 Source)
*
Truck
Shop
Vendor
Qty (C2-P6)
(Part 6 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C2-P6)
(Part 6 Name)
*
Part # (C2-P6)
(Part 6 Number)
*
(C2-P6) Source?
(Part 6 Source)
*
Truck
Shop
Vendor
Qty (C2-P7)
(Part 7 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C2-P7)
(Part 7 Name)
*
Part # (C2-P7)
(Part 7 Number)
*
(C2-P7) Source?
(Part 7 Source)
*
Truck
Shop
Vendor
Qty (C2-P8)
(Part 8 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C2-P8)
(Part 8 Name)
*
Part # (C2-P8)
(Part 8 Number)
*
(C2-P8) Source?
(Part 8 Source)
*
Truck
Shop
Vendor
Qty (C2-P9)
(Part 9 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C2-P9)
(Part 9 Name)
*
Part # (C2-P9)
(Part 9 Number)
*
(C2-P9) Source?
(Part 9 Source)
*
Truck
Shop
Vendor
Qty (C2-P10)
(Part 10 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C2-P10)
(Part 10 Name)
*
Part # (C2-P10)
(Part 10 Number)
*
(C2-P10) Source?
(Part 10 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 2:
3) COMPLAINT:
*
Does COMPLAINT 3 Involve a Lift Gate?
Does COMPLAINT 3 Involve a Lift Gate?
Yes
No
Lift Gate Serial Number (Complaint 3):
CAUSE / CURE:
Were part(s) used on Complaint # 3?
*
Were part(s) used on Complaint # 3?
Yes
No
Customer supplied
Number of Parts used for Complaint 3?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 3:
Qty (C3-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C3-P1)
(Part 1 Name)
*
Part # (C3-P1)
(Part 1 Number)
*
(C3-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C3-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C3-P2)
(Part 2 Name)
*
Part # (C3-P2)
(Part 2 Number)
*
(C3-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C3-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C3-P3)
(Part 3 Name)
*
Part # (C3-P3)
(Part 3 Number)
*
(C3-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C3-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C3-P4)
(Part 4 Name)
*
Part # (C3-P4)
(Part 4 Number)
*
(C3-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Qty (C3-P5)
(Part 5 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C3-P5)
(Part 5 Name)
*
Part # (C3-P5)
(Part 5 Number)
*
(C3-P5) Source?
(Part 5 Source)
*
Truck
Shop
Vendor
Qty (C3-P6)
(Part 6 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C3-P6)
(Part 6 Name)
*
Part # (C3-P6)
(Part 6 Number)
*
(C3-P6) Source?
(Part 6 Source)
*
Truck
Shop
Vendor
Qty (C3-P7)
(Part 7 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C3-P7)
(Part 7 Name)
*
Part # (C3-P7)
(Part 7 Number)
*
(C3-P7) Source?
(Part 7 Source)
*
Truck
Shop
Vendor
Qty (C3-P8)
(Part 8 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C3-P8)
(Part 8 Name)
*
Part # (C3-P8)
(Part 8 Number)
*
(C3-P8) Source?
(Part 8 Source)
*
Truck
Shop
Vendor
Qty (C3-P9)
(Part 9 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C3-P9)
(Part 9 Name)
*
Part # (C3-P9)
(Part 9 Number)
*
(C3-P9) Source?
(Part 9 Source)
*
Truck
Shop
Vendor
Qty (C3-P10)
(Part 10 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C3-P10)
(Part 10 Name)
*
Part # (C3-P10)
(Part 10 Number)
*
(C3-P10) Source?
(Part 10 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 3:
4) COMPLAINT:
*
Does COMPLAINT 4 Involve a Lift Gate?
Does COMPLAINT 4 Involve a Lift Gate?
Yes
No
Lift Gate Serial Number (Complaint 4):
CAUSE / CURE:
Were part(s) used on Complaint # 4?
*
Were part(s) used on Complaint # 4?
Yes
No
Customer supplied
Number of Parts used for Complaint 4?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 4:
Qty (C4-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C4-P1)
(Part 1 Name)
*
Part # (C4-P1)
(Part 1 Number)
*
(C4-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C4-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C4-P2)
(Part 2 Name)
*
Part # (C4-P2)
(Part 2 Number)
*
(C4-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C4-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C4-P3)
(Part 3 Name)
*
Part # (C4-P3)
(Part 3 Number)
*
(C4-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C4-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C4-P4)
(Part 4 Name)
*
Part # (C4-P4)
(Part 4 Number)
*
(C4-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Qty (C4-P5)
(Part 5 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C4-P5)
(Part 5 Name)
*
Part # (C4-P5)
(Part 5 Number)
*
(C4-P5) Source?
(Part 5 Source)
*
Truck
Shop
Vendor
Qty (C4-P6)
(Part 6 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C4-P6)
(Part 6 Name)
*
Part # (C4-P6)
(Part 6 Number)
*
(C4-P6) Source?
(Part 6 Source)
*
Truck
Shop
Vendor
Qty (C4-P7)
(Part 7 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C4-P7)
(Part 7 Name)
*
Part # (C4-P7)
(Part 7 Number)
*
(C4-P7) Source?
(Part 7 Source)
*
Truck
Shop
Vendor
Qty (C4-P8)
(Part 8 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C4-P8)
(Part 8 Name)
*
Part # (C4-P8)
(Part 8 Number)
*
(C4-P8) Source?
(Part 8 Source)
*
Truck
Shop
Vendor
Qty (C4-P9)
(Part 9 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C4-P9)
(Part 9 Name)
*
Part # (C4-P9)
(Part 9 Number)
*
(C4-P9) Source?
(Part 9 Source)
*
Truck
Shop
Vendor
Qty (C4-P10)
(Part 10 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C4-P10)
(Part 10 Name)
*
Part # (C4-P10)
(Part 10 Number)
*
(C4-P10) Source?
(Part 10 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 4:
5) COMPLAINT:
*
Does COMPLAINT 5 Involve a Lift Gate?
Does COMPLAINT 5 Involve a Lift Gate?
Yes
No
Lift Gate Serial Number (Complaint 5):
CAUSE / CURE:
Were part(s) used on Complaint # 5?
*
Were part(s) used on Complaint # 5?
Yes
No
Customer supplied
Number of Parts used for Complaint 5?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 5:
Qty (C5-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C5-P1)
(Part 1 Name)
*
Part # (C5-P1)
(Part 1 Number)
*
(C5-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C5-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C5-P2)
(Part 2 Name)
*
Part # (C5-P2)
(Part 2 Number)
*
(C5-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C5-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C5-P3)
(Part 3 Name)
*
Part # (C5-P3)
(Part 3 Number)
*
(C5-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C5-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C5-P4)
(Part 4 Name)
*
Part # (C5-P4)
(Part 4 Number)
*
(C5-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Qty (C5-P5)
(Part 5 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C5-P5)
(Part 5 Name)
*
Part # (C5-P5)
(Part 5 Number)
*
(C5-P5) Source?
(Part 5 Source)
*
Truck
Shop
Vendor
Qty (C5-P6)
(Part 6 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C5-P6)
(Part 6 Name)
*
Part # (C5-P6)
(Part 6 Number)
*
(C5-P6) Source?
(Part 6 Source)
*
Truck
Shop
Vendor
Qty (C5-P7)
(Part 7 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C5-P7)
(Part 7 Name)
*
Part # (C5-P7)
(Part 7 Number)
*
(C5-P7) Source?
(Part 7 Source)
*
Truck
Shop
Vendor
Qty (C5-P8)
(Part 8 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C5-P8)
(Part 8 Name)
*
Part # (C5-P8)
(Part 8 Number)
*
(C5-P8) Source?
(Part 8 Source)
*
Truck
Shop
Vendor
Qty (C5-P9)
(Part 9 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C5-P9)
(Part 9 Name)
*
Part # (C5-P9)
(Part 9 Number)
*
(C5-P9) Source?
(Part 9 Source)
*
Truck
Shop
Vendor
Qty (C5-P10)
(Part 10 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C5-P10)
(Part 10 Name)
*
Part # (C5-P10)
(Part 10 Number)
*
(C5-P10) Source?
(Part 10 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 5:
6) COMPLAINT:
*
Does COMPLAINT 6 Involve a Lift Gate?
Does COMPLAINT 6 Involve a Lift Gate?
Yes
No
Lift Gate Serial Number (Complaint 6):
CAUSE / CURE:
Were part(s) used on Complaint # 6?
*
Were part(s) used on Complaint # 6?
Yes
No
Customer supplied
Number of Parts used for Complaint 6?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 6:
Qty (C6-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C6-P1)
(Part 1 Name)
*
Part # (C6-P1)
(Part 1 Number)
*
(C6-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C6-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C6-P2)
(Part 2 Name)
*
Part # (C6-P2)
(Part 2 Number)
*
(C6-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C6-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C6-P3)
(Part 3 Name)
Part # (C6-P3)
(Part 3 Number)
*
(C6-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C6-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C6-P4)
(Part 4 Name)
*
Part # (C6-P4)
(Part 4 Number)
*
(C6-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Qty (C6-P5)
(Part 5 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C6-P5)
(Part 5 Name)
*
Part # (C6-P5)
(Part 5 Number)
*
(C6-P5) Source?
(Part 5 Source)
*
Truck
Shop
Vendor
Qty (C6-P6)
(Part 6 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C6-P6)
(Part 6 Name)
*
Part # (C6-P6)
(Part 6 Number)
*
(C6-P6) Source?
(Part 6 Source)
*
Truck
Shop
Vendor
Qty (C6-P7)
(Part 7 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C6-P7)
(Part 7 Name)
*
Part # (C6-P7)
(Part 7 Number)
*
(C6-P7) Source?
(Part 7 Source)
*
Truck
Shop
Vendor
Qty (C6-P8)
(Part 8 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C6-P8)
(Part 8 Name)
*
Part # (C6-P8)
(Part 8 Number)
*
(C6-P8) Source?
(Part 8 Source)
*
Truck
Shop
Vendor
Qty (C6-P9)
(Part 9 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C6-P9)
(Part 9 Name)
*
Part # (C6-P9)
(Part 9 Number)
*
(C6-P9) Source?
(Part 9 Source)
*
Truck
Shop
Vendor
Qty (C6-P10)
(Part 10 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C6-P10)
(Part 10 Name)
*
Part # (C6-P10)
(Part 10 Number)
*
(C6-P10) Source?
(Part 10 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 6:
7) COMPLAINT:
*
CAUSE / CURE:
Were part(s) used on Complaint # 7?
*
Were part(s) used on Complaint # 7?
Yes
No
Customer supplied
Number of Parts used for Complaint 7?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 7:
Qty (C7-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C7-P1)
(Part 1 Name)
*
Part # (C7-P1)
(Part 1 Number)
*
(C7-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C7-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C7-P2)
(Part 2 Name)
*
Part # (C7-P2)
(Part 2 Number)
*
(C7-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C7-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C7-P3)
(Part 3 Name)
*
Part # (C7-P3)
(Part 3 Number)
*
(C7-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C7-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C7-P4)
(Part 4 Name)
*
Part # (C7-P4)
(Part 4 Number)
*
(C7-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 7:
8) COMPLAINT:
*
CAUSE / CURE:
Were part(s) used on Complaint # 8?
*
Were part(s) used on Complaint # 8?
Yes
No
Customer supplied
Number of Parts used for Complaint 8?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 8:
Qty (C8-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C8-P1)
(Part 1 Name)
*
Part # (C8-P1)
(Part 1 Number)
*
(C8-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C8-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C8-P2)
(Part 2 Name)
*
Part # (C8-P2)
(Part 2 Number)
*
(C8-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C8-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C8-P3)
(Part 3 Name)
*
Part # (C8-P3)
(Part 3 Number)
*
(C8-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C8-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C8-P4)
(Part 4 Name)
*
Part # (C8-P4)
(Part 4 Number)
*
(C8-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 8:
9) COMPLAINT:
*
CAUSE / CURE:
Were part(s) used on Complaint # 9?
*
Were part(s) used on Complaint # 9?
Yes
No
Customer supplied
Number of Parts used for Complaint 9?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 9:
Qty (C9-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C9-P1)
(Part 1 Name)
*
Part # (C9-P1)
(Part 1 Number)
*
(C9-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C9-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C9-P2)
(Part 2 Name)
*
Part # (C9-P2)
(Part 2 Number)
*
(C9-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C9-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C9-P3)
(Part 3 Name)
*
Part # (C9-P3)
(Part 3 Number)
*
(C9-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C9-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C9-P4)
(Part 4 Name)
*
Part # (C9-P4)
(Part 4 Number)
*
(C9-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 9:
10) COMPLAINT
*
CAUSE / CURE:
Were part(s) used on Complaint # 10?
*
Were part(s) used on Complaint # 10?
Yes
No
Customer supplied
Number of Parts used for Complaint 10?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 10:
Qty (C10-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C10-P1)
(Part 1 Name)
*
Part # (C10-P1)
(Part 1 Number)
*
(C10-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C10-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C10-P2)
(Part 2 Name)
*
Part # (C10-P2)
(Part 2 Number)
*
(C10-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C10-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C10-P3)
(Part 3 Name)
*
Part # (C10-P3)
(Part 3 Number)
*
(C10-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C10-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C10-P4)
(Part 4 Name)
*
Part # (C10-P4)
(Part 4 Number)
*
(C10-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 10:
11) COMPLAINT
*
CAUSE / CURE:
Were part(s) used on Complaint # 11?
*
Were part(s) used on Complaint # 11?
Yes
No
Customer supplied
Number of Parts used for Complaint 11?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 11:
Qty (C11-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C11-P1)
(Part 1 Name)
*
Part # (C11-P1)
(Part 1 Number)
*
(C11-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C11-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C11-P2)
(Part 2 Name)
*
Part # (C11-P2)
(Part 2 Number)
*
(C11-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C11-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C11-P3)
(Part 3 Name)
*
Part # (C11-P3)
(Part 3 Number)
*
(C11-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C11-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C11-P4)
(Part 4 Name)
*
Part # (C11-P4)
(Part 4 Number)
*
(C11-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 11:
12) COMPLAINT
*
CAUSE / CURE:
Were part(s) used on Complaint # 12?
*
Were part(s) used on Complaint # 12?
Yes
No
Customer supplied
Number of Parts used for Complaint 12?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 12:
Qty (C12-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C12-P1)
(Part 1 Name)
*
Part # (C12-P1)
(Part 1 Number)
*
(C12-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C12-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C12-P2)
(Part 2 Name)
*
Part # (C12-P2)
(Part 2 Number)
*
(C12-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C12-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C12-P3)
(Part 3 Name)
*
Part # (C12-P3)
(Part 3 Number)
*
(C12-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C12-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C12-P4)
(Part 4 Name)
*
Part # (C12-P4)
(Part 4 Number)
*
(C12-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 12:
13) COMPLAINT
*
CAUSE / CURE:
Were part(s) used on Complaint # 13?
*
Were part(s) used on Complaint # 13?
Yes
No
Customer supplied
Number of Parts used for Complaint 13?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 13:
Qty (C13-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C13-P1)
(Part 1 Name)
*
Part # (C13-P1)
(Part 1 Number)
*
(C13-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C13-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C13-P2)
(Part 2 Name)
*
Part # (C13-P2)
(Part 2 Number)
*
(C13-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C13-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C13-P3)
(Part 3 Name)
*
Part # (C13-P3)
(Part 3 Number)
*
(C13-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C13-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C13-P4)
(Part 4 Name)
*
Part # (C13-P4)
(Part 4 Number)
*
(C13-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 13:
14) COMPLAINT
*
CAUSE / CURE:
Were part(s) used on Complaint # 14?
*
Were part(s) used on Complaint # 14?
Yes
No
Customer supplied
Number of Parts used for Complaint 14?
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Parts Used for COMPLAINT 14:
Qty (C14-P1)
(Part 1 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C14-P1)
(Part 1 Name)
*
Part # (C14-P1)
(Part 1 Number)
*
(C14-P1) Source?
(Part 1 Source)
*
Truck
Shop
Vendor
Qty (C14-P2)
(Part 2 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C14-P2)
(Part 2 Name)
*
Part # (C14-P2)
(Part 2 Number)
*
(C14-P2) Source?
(Part 2 Source)
*
Truck
Shop
Vendor
Qty (C14-P3)
(Part 3 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C14-P3)
(Part 3 Name)
*
Part # (C14-P3)
(Part 3 Number)
*
(C14-P3) Source?
(Part 3 Source)
*
Truck
Shop
Vendor
Qty (C14-P4)
(Part 4 Qty)
*
Must be between
1
and
2
digits.
Currently Entered:
0
digits.
Part Name (C14-P4)
(Part 4 Name)
*
Part # (C14-P4)
(Part 4 Number)
*
(C14-P4) Source?
(Part 4 Source)
*
Truck
Shop
Vendor
Labor Time - Complaint 14:
Recommends:
YES/NONE/ALL COMPLETE
(TYPE 1 DOT & SAFETY)
*
Recommends:
YES/NONE/ALL COMPLETE
(TYPE 2 NON DOT & SAFETY)
*
Estimate for recommends
*
Non DOT Vehicle
Non DOT Vehicle
Yes
No
ROAD TEST REQUIRED:
*
ROAD TEST REQUIRED:
YES
NO
Repairs Verfied:
*
Repairs Verfied:
YES
NO
Was Vehicle & Area Left Clean?
Was Vehicle & Area Left Clean?
Yes - Left Clean
No - Not Left Clean
TECHNICIAN'S SIGNATURE:
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Email