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Truck Maintenance Form
Please Submit Weekly on Thursdays
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Truck Driver Name (NOMBRE DE CONDUCTOR))
*
First
Last
Truck Number (numero de vehiculo)
*
Current Miles (millas actuales)
*
Oil Life Percentage (porcentaje de vida de aceite)
*
Any Leaks From Truck (El vehiculo tiene fugas)
*
Select One
Yes
No
Do All Truck Lights Work (funcionan todas las luces)
*
Select One
Yes
No
Tire Condition (condicion de llanta)
*
Select One
Good
Bad
Horn Condition (condicion de claxon)
*
Select One
Good
Bad
Seat Belts Condition (condicion de cinturon)
*
Select One
Good
Bad
Windows & Wipers (ventanas y limpiaparabrisas)
*
Select One
Good
Bad
Fire Extinguisher & Mount (extintor de incendios y el montaje)
*
Select One
Good
Need Refill/Missing/Etc.
Truck Paperwork (Insurance/Registration) (registro/seguro)
*
Select One
Have in Truck
Missing
Preferred Method of Contact (metodo de contacto preferido)
*
Select One
Text
Call
Email
Enter Your Contact Info Below (phone or email) Ingrese su informacion de contacto
*
Provide Details of Any Truck Issues (Si requiere agrege mas detalles en la caja abajo)
Submit