EmailMe Form - FleetComplete Deinstalls Only

This Job Was Done On?

MM / DD / YYYY

Technician Name *

First Last

Technicians Email *

Customers Email

Work Order# *

Customer *

JOB INFORMATION

Tolls

Do You Use a Electronic Toll Collection System for your Tolls ? *

Toll Receipt *

Is This Your Last Job Of The Day? *

Mileage (Actual Miles Driven) *

Please add up all of your ACTUAL driven mileage for the day.

Did You Have To Drive Additional Mileage For The Day? *

Please Explain Additional Mileage *

Are All Vehicles Serviced at 1 Location? *

How Many Vehicles At Each Location?

LOCATION 1
LOCATION 2
LOCATION 3
LOCATION 4
LOCATION 5

Quantity of Deinstalls *

Precheck Vehicle 1 *

Other Precheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Label *

Vehicle name or number you are removing the device from

ESN# *

Serial number of the device you are removing (Make sure this matches the ESN on your work order)

Postcheck Vehicle 1 *

Other Postcheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Notes

Precheck Vehicle 2 *

Other 2 Precheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Label 2 *

ESN# 2 *

Esn of the New/device that is installed/installing in vehicle

Postcheck Vehicle 2 *

Other 2 Postcheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Notes 2

Precheck Vehicle 3 *

Other 3 Precheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Label 3 *

ESN# 3 *

Esn of the New/device that is installed/installing in vehicle

Postcheck Vehicle 3 *

Other 3 Postcheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Notes 3

Precheck Vehicle 4 *

Other 4 Precheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Label 4 *

ESN# 4 *

Serial number of the device you are removing (Make sure this matches the ESN on your work order)

Postcheck Vehicle 4 *

Other 4 Postcheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Notes 4

Precheck Vehicle 5 *

Other 5 Precheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Label 5 *

ESN# 5 *

Serial number of the device you are removing (Make sure this matches the ESN on your work order)

Postcheck Vehicle 5 *

Other 5 Postcheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Notes 5

Precheck Vehicle 6 *

Other 6 Precheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Label 6 *

ESN# 6 *

Serial number of the device you are removing (Make sure this matches the ESN on your work order)

Postcheck Vehicle 6 *

Other 6 Postcheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Notes 6

Precheck Vehicle 7 *

Other 7 Precheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Label 7 *

ESN# 7 *

Serial number of the device you are removing (Make sure this matches the ESN on your work order)

Postcheck Vehicle 7 *

Other 7 Postcheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Notes 7

Precheck Vehicle 8 *

Other 8 Precheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Label 8 *

ESN# 8 *

Esn of the New/device that is installed/installing in vehicle

Postcheck Vehicle 8 *

Other 8 Postcheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Notes 8

Precheck Vehicle 9 *

Other 9 Precheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Label 9 *

ESN# 9 *

Serial number of the device you are removing (Make sure this matches the ESN on your work order)

Postcheck Vehicle 9 *

Other 9 Postcheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Notes 9

Precheck Vehicle 10 *

Other 10 Precheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Label 10 *

ESN# 10 *

Serial number of the device you are removing (Make sure this matches the ESN on your work order)

Postcheck Vehicle 10 *

Other 10 Postcheck issues that you can be held liable for (missing broken panels,knobs,screws etc)

REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!

Notes 10

Was there Devices Left To Be Installed? *

How Many Devices Are Left To Be Installed *

Please Explain Why The Job Could Not Be Completed *

Please Select Your Schedulers Name So They Are Updated That There Is Work Left That Needs Rescheduled *

Job Notes

Pictures

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Signature

Clear

Not required but use if asked too

	Pass	Fail	N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
PTO (Engage PTO)
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)

	Pass	Fail	N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
PTO (Engage PTO)
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)

	Pass	Fail	N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
PTO (Engage PTO)
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)

	Pass	Fail	N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
PTO (Engage PTO)
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)

	Pass	Fail	N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
PTO (Engage PTO)
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)