VEHICLE MAINTENANCE REQUEST

Request Date Targeted Maintenance Date

Employee Name

Department

Vehicle Platet No Maintance submit date

Expected Return Date Actual Return Date

Problem Description (to be Filled By Employee)

Fleet Advisor Report ( to be filled after actual return date )

Priority To be filled By Fleet Su

At next
Immediate schedule
ASAP
ly d P.M.
check

Fleet Advisor Confirmation HR & Admin Manager Confirmation Employee Confirmation