EmailMeForm
This Job Was Done On
*
Technician Name
*
First
Last
Technicians Email
*
PO#
*
GPS Vendors Name
*
(Traxxis, Trimble, Etc)
What Type Of Installation
*
Please select
ODBII
Hardwired
What Type Of Vehicle?
*
Please select
Heavy Duty (Semi Trucks)
HardwiredLight Duty (Cars, Vans, Pick up Trucks)
Light Duty (Cars, Vans, Pick up Trucks)
Customer
*
JOB INFORMATION
Tolls
Do You Use a Electronic Toll Collection System for your Tolls ?
*
Please select
Yes
No
Easy Pass, Sunpass, I-Pass, Fast Pass. Pay by Plate etc.
Toll Reciept
*
Add File
Is This Your Last Job Of The Day?
*
Please select
Yes
No
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 select
Yes
No
Please Explain Additional Mileage
*
Are All Vehicles Serviced at 1 Location?
*
Please select
Yes
No
How Many Vehicles At Each Location?
Location 1
Location 2
Location 3
Location 4
Location 5
Quantity of installs
*
Please select
1
2
3
4
5
Precheck For The Vehicle You Are Deinstalling The Device From
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Vehicle 1 Deinstall
*
Old Label
ESN
Precheck For The Vehicle You Are Reinstalling The Device Into
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Precheck 1 issues that you can be held liable for? (Broken marker lights, Existing wire issues etc.)
REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!
Please Select Peripherals 1
*
None
Driver ID
Competitor Removals
Garmin
PTO
Extended PTO
Panic Button
Logbooks
Tablet Mounts
Camera
vehicle wiring diagrams
Vehicle 1 Reinstall
*
Label
Plate
ESN
Vin
Odometer/Hours
Year
Make
Model
Verified By (Must be verified in order to be paid)
Did You Replace The Gps Device
*
Please select
Yes
No
Old ESN
*
Postcheck 1
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
NOTES 1
Precheck 2 For The Vehicle You Are Deinstalling The Device From
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Vehicle 2 Deinstall
*
Old Label
ESN
Precheck 2 For The Vehicle Your Are Reinstalling The Device Into
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Precheck 2 issues that you can be held liable for? (Broken marker lights, Existing wire issues etc.)
REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!
Please Select Peripherals 2
*
None
Driver ID
Competitor Removals
Garmin
PTO
Extended PTO
Panic Button
Logbooks
Tablet Mounts
Camera
vehicle wiring diagrams
Vehicle 2 Reinstall
*
Label
Plate
ESN
Vin
Odometer/Hours
Year
Make
Model
Verified By (Must be verified in order to be paid)
Did You Have To Replace The Gps Device? 1
*
Please select
Yes
No
Old ESN# 1
*
Postcheck 2
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Notes 2
Precheck 3 For The Vehicle You Are Deinstalling The Device From
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Vehicle 3 Deinstall
*
Old Label
ESN
Precheck 3 For The Vehicle Your Are Reinstalling The Device Into
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Precheck 3 issues that you can be held liable for? (Broken marker lights, Existing wire issues etc.)
REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!
Please Select Peripherals 3
*
None
Driver ID
Competitor Removals
Garmin
PTO
Extended PTO
Panic Button
Logbooks
Tablet Mounts
Camera
vehicle wiring diagrams
Vehicle 3 Reinstall
*
Label
Plate
ESN
Vin
Odometer/Hours
Year
Make
Model
Verified By (Must be verified in order to be paid)
Vehicle 3 Did You Replace The GPS Device
*
Please select
Yes
No
Vehicle 3 Old Esn
*
Postcheck 3
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Notes 3
Precheck 4 For The Vehicle You Are Deinstalling The Device From
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Vehicle 4 Deinstall
*
Old Label
ESN
Precheck 4 For The Vehicle Your Are Reinstalling The Device Into
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Precheck 4 issues that you can be held liable for? (Broken marker lights, Existing wire issues etc.)
REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!
Please Select Peripherals 4
*
None
Driver ID
Competitor Removals
Garmin
PTO
Extended PTO
Panic Button
Logbooks
Tablet Mounts
Camera
vehicle wiring diagrams
Vehicle 4 Reinstall
*
Label
Plate
ESN
Vin
Odometer/Hours
Year
Make
Model
Verified By (Must be verified in order to be paid)
Did You Replace The Gps Device
*
Please select
Yes
No
Vehicle 4 Old Esn
*
Postcheck 4
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Notes 4
Precheck 5 For The Vehicle You Are Deinstalling The Device From
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Vehicle 5 Deinstall
*
Old Label
ESN
Precheck 5 For The Vehicle You Are Reinstalling the Device Into
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Precheck 5 issues that you can be held liable for? (Broken marker lights, Existing wire issues etc.)
REMEMBER WE ARE A LAST TOUCH INDUSTRY !!!!
Please Select Peripherals 5
*
None
Driver ID
Competitor Removals
Garmin
PTO
Extended PTO
Panic Button
Logbooks
Tablet Mounts
Camera
vehicle wiring diagrams
Vehicle 5 Reinstall
*
Label
Plate
ESN
Vin
Odometer/Hours
Year
Make
Model
Verified By (Must be verified in order to be paid)
Did You Replace The Gps Device ?
*
Please select
Yes
No
Vehicle 5 Old Esn
*
Postcheck 5
*
Pass
Fail
N/A
Start Engine
Check Engine Light
TPMS Light
Air Bag Light
Abs Light
Power Locks
Power Windows
Turn Signals
Horn
Radio
HVAC (Heater Check all Speeds)
Notes 5
Was there Devices Left To Be Installed?
*
Please select
Yes
No
How Many Devices Are Left To Be Installed
*
Please select
1
2
3
4
5
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
*
Please select
Isaac
Paola
Wendy
Job Notes
Pictures
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