Vehicle Induction Form

New Vehicle Induction Form

Manager Use Only
Date of Inspection

MonthDayYear
Vehicle/Driver Information
Vehicle Unit #
Driver Vehicle Is Intended For:
Technician's email address:
example@@culliganquench.com
Manager Name:
Vehicle Unit # of Old Vehicle Being Replaced:
New Van Plate State:
New Van Plate Number:
Service Market:
Registration Address:
(Address of office or location of FSM where Registrations will be mailed in the future, NOT the FST's home address)
Garage Location
(Tech's Home Address where vehicle will be kept overnight)
Home Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
# Of Spare Keys in FSM's Possession:
(FSM Should Retain All Spare Keys)
Maint. Card:
Maint. Card #
Fuel Card:
Fuel Card Number:
(Bottom Left of Card Under Quench USA)
Note: - DO NOT RETAIN AND USE FUEL CARD AND/OR MAINT CARD FROM OLD VEHICLE.

Fuel Cards and Maintenance Cards STAY with the Vehicle they are intended for, they are not assigned to drivers. Each card should only be used for the vehicle of the same #.
Checklist
(Check boxes once completed)
GeoTab GPS Serial #
(GPS Found Under Dash Plugged in OBD Port)
Did you transfer the GeoTab from the old vehicle to the new vehicle?
State Inspection Date:
(mm/yyyy)
Emissions Inspection Date:
(mm/yyyy)
PPE Checklist:
Action Items:
Identify Any Needed Credentials and/or Missing PPE
Vehicle Damage

Identify all areas of cosmetic damage using the diagram below and descride the damage in the space provided below.
Does the upfitting match the pictures shown below?
Please upload vehicle photos:

Upload a File

Cancelof
Damage Description: (i.e - "Dented fender" or "Cracked windshield")
Driver Signature:
Manager Signature:
Should be Empty:

New Vehicle Induction Form