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2. Description
   This form is to be utilized to request new or replacement equipment for all suppression vehicles. EMS equipment will still go through EMS supply and any vehicle repairs will go through Fleet directly.
4. Date*
   Date
5. Name of person submitting request*
7. Vehicle*

   1. Quint 1
   2. Quint 2
   3. Engine 3
   4. Engine 4
   5. Engine 5
   6. Engine 6
   7. Truck 7
   8. Engine 41
   9. Engine 42

   1. Engine 43 (stocked engine)
   2. MABAS TRT Squad
   3. Brush 7
   4. Training / Spec Ops Pickup
   5. Ranger 7
   6. Ambulance 1
   7. Ambulance 2
   8. Ambulance 4

   1. Ambulance 5
   2. Ambulance 6
   3. Ambulance 7
   4. Ambulance 51
   5. Ambulance 52
   6. Boat 6
   7. Boat 5
   8. Res-Q-Raft
9. If the issues involves radio related equipment please check the appropriate box(es)

   1. Radio - Portable
   2. Radio - Station
   3. Radio - Mobile
   4. Radio - Batteries

   1. Radio - Headsets
   2. Radio - Station Handsets
   3. Radio - Station PA
11. Missing or broken equipment replacement
    If you are requesting replacement of a piece of equipment already on the vehicle inventory, please describe what needs to be replaced and why.
13. New equipment request
    If you are requesting a new piece of equipment not already on the vehicle inventory, please give a detailed explanation of the item including: need, benefit, and cost.
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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

* indicates a required field