Please complete the following form to request repairs, maintenance or other fabrication needs from the Fleet Division. Any information that is omitted on your original request may cause a delay in scheduling your maintenance or repairs.

Please fill out one form for each vehicle or piece of equipment to be repaired.

If this is an emergency request for repairs, please call 303-655-2087 or 303-655-2062 prior to completing this request form.

Requesting Employee Name

Supervisors Name

Vehicle #

Mileage

Vehicle Status

In Service

Deadlined

Routine Maintenance

(1) PM

Due

Overdue

Overdue by (Date)

Repair Request

(2)

-

Repair Request

(3)

-

Repair Request

(4)

-

Repair Request

(5)

-

Warning Light On

(6)

Yes

No

-

Attach photo of repair request

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

-

-

Vehicle Damage or Accident

Yes

No

Attach photo of damage -JPG

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Attach second photo of damage -JPG

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

-

Was accident report made?

Yes

No

Attach copy of report

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Notes