Vehicle Change Form

Updated Driver Name*

First NameLast Name

New Vehicle Unit No.*

Vehicle Tech Is Now Being Assigned

Driver's Former Unit No. (if applicable)*

Vehicle Tech Was Formerly Assigned (if this is not driver's first vehicle assignment)

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Gas Card Needed

YesNo

Gas Card PIN Needed

YesNo

GeoTab Device Needed

YesNoDeactivate because this vehicle is now openDeactivate because this vehicle is being replaced

Is this vehicle change due to a personnel change?

YesNo

Name of Employee Removed from Vehicle

Which needs to be updated?

GPSEZ Pass

If you are in need of a new GeoTab GPS device, please inform the Fleet Administrator, fleet@quenchwater.com

Do NOT remove the GeoTab device from the vehicle (unless we are selling this vehcile).

GeoTab Changes

GeoTab Serial # for new vehicle

EZ Pass changes

Enter EZ Pass transponder #

Mileage on New Vehicle

Enter current mileage

New vehicle Plate#*

Is this vehicle replacing another vehicle*

YesNo

Which vehicle unit is being replaced?

Please enter Vehicle unit#

More information on old vehicle

The vehicle being replaced has been left for Enterprise to pick upThis vehicle will be set aside until another employee is assigned to itThis vehicle was totaled

Manager Email Address*

jmanager@quenchwater.com

Please submit a change form for any vehicles affected by this change. i.e. status of old vehicle changing to "Open", old vehicle assigned to another tech, etc.