Equipment Breakdown
Sign in to Google to save your progress. Learn more
TRUCK NUMBER *
TRAILER NUMBER *
WHICH UNIT HAS THE ISSUE? *
DRIVER NAME *
DRIVER PHONE NUMBER *
EMPTY or LOADED *
LOCATION
DRIVEABLE??? *
Problem Category - PICK ONE *
ISSUE/PROBLEM *
DISPATCH NOTIFIED *
DASH LIGHTS or CODES
OTHERS INVOLVED??? *
IF YES, EXPLAIN:
SOLUTION: *
VENDOR USED
*
WHAT IS THE ETA TO THE DRIVER? *
HOW MUCH IS THE SERVICE CALL FEE? *
WHAT IS THE HOURLY LABOR RATE? *
ASK IF THERE IS A MINIMUM CHARGE? IF YES, HOW MUCH? *
PLEASE HAVE THE DRIVER AND TECH SEND PICTURES TO SHOP@JIT-EX.COM *
ESTIMATED TOTAL COST:
INFO TAKEN BY: *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy