EmailMe Form - Apparatus / Equipment Service Request

Driver *

First Last

Best contact number

### - ### - ####

Vehicle Issue

Vehicle Priority

1 (Not safe to operate)

2 ( needs immediate attention)

3 (lower priority)

Equipment Issue

Location of Equipment

Station 100

Station 300

Station 400

Equipment Priority

1 (Not safe to operate)

2 ( needs immediate attention)

3 (lower priority)

Describe the issue. Include any actions you have taken to fix issue. *