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2. Fleet Services Work Order Request
6. First Name*
7. Last Name*
9. Phone Number*
10. Email Address*
12. Department/Office*

    1. Administration
    2. Animal Control
    3. CRS, E&S
    4. Elections & Registration
    5. Emergency Management
    6. Finance & Budget
    7. Fire Rescue

    1. Human Resources
    2. Information Technology (IT)
    3. Joint Development Authority (JDA)
    4. Planning & Development
    5. Public Health
    6. Public Protection & Compliance

    1. Public Works
    2. Risk Management
    3. Solid Waste
    4. Tax Assessor
    5. Tax Commissioner
    6. UGA Extension
16. Make of Vehicle/Equipment*
17. Model of Vehicle/Equipment*
19. Year of Vehicle/Equipment*
20. Asset Number*
24. Work Requested*

    Check all that apply.

    1. Battery Issue
    2. Breakdown Repair
    3. Electronics Repair

    1. Oil Change
    2. Routine Maintenance

    1. Tire Repair
    2. Other (Please detail below)
26. Description of Breakdown Repair*
28. Tire Repair Details*

    Select all option(s) that apply.

    1. Driver Front Tire

    1. Driver Rear Tire

    1. Passenger Front Tire

    1. Passenger Rear Tire
30. Description of Work Requested*
34. Upload Image of Issue

    Upload image of issue if needed.

38. Please note that by submitting this work order request, you will be contacted by a member of Fleet Services to schedule an appointment for work to be completed.

42. Disclaimer: Information submitted on this form will be sent via email. To protect sensitive information, do not send the following information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, medical information, passport numbers, and passwords.

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44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

* indicates a required field