Guaranteed Truck Service Vehicle Repair Order (Las Vegas)
Guaranteed Truck Service Vehicle Repair Order (Las Vegas)
Vehicle Repair Order
2680 Losee Rd.
N. Las Vegas, NV 89030
Phone: (702)-399-1890
Guaranteed Truck Service Vehicle Repair Order
Dispatch Ticket #
*
PO Number
Service Call/Truck #
Add/On
Customer Name
*
ABC LV - 804393
A Barricade - 119792
Apodaca LV - 805223
Aquatic Co. - 130396
Battleborn - 100041
Blue Rhino - 789914
Big Valley Road Solution - 745402
Border Costruction LV - 730650
Caravana - 6294-005
Central Valley I - 804462
Central Valley S - 803048
City of Boulder City - 419667
Culinary Academy - 136181
DHS Signs - 131021
Home Delivery/ Truline LV - 129118
In N Out LV - 138656
Inline Distribution - Trailers - 130920-000
Inline Distribution - Trucks - 130920-001
LKQ LV- 802311-000
Mobile Force - 803220
Mobile Mini - 456283
Package Runner - 814458
Premier Contractors - 818982
Rice Construction - 124331
Senergy Petroleum - 766156
Sierra Trucking - 952027
Sunrise Paving - 771059
Trench Shoring - 802711
OTHER
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
*
Barron
Josh
Mike
Second Technician
Barron
Josh
Mike
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
Non DOT unit
Attach Customer Form
Upload a File
*
Attach Files
Performed PM?
*
Performed PM?
Yes
No
YES, Performed PM?
Upload a File
*
Attach Files
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.