1-Appendix A Service_Request_Intake_Questions (1).pdf

157 KB Posted

Attached to
Master Agreement AZ|CTR077358
Contract number
CTR077358
Issued by
Arizona

About this file

Written by GovTribe AI ·

This document is a Service Request Intake Questions form designed to capture comprehensive details about a vehicle requiring repair or maintenance. The form appears to be a standardized template for agencies to provide specific information about a vehicle service need, but does not specify a particular state, agency, or jurisdiction.

The intake form is structured to collect critical information across four key sections: Agency Information, Vehicle Information, Location and Logistics, and Issue Description. It requests detailed data including agency contact details, vehicle specifics (make, model, year, VIN, plate number, vehicle type), current location, drivability status, specific mechanical issues, dashboard warnings, repair history, maintenance records, and visible damage. Additionally, the form seeks supplementary information such as vehicle photos, repair priority level, and preferred scheduling window for service.

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Service Request Intake Questions

Agency Information

• What is the name of your agency and point of contact information?

Vehicle Information

• What is the make, model, year, VIN, and plate number of the vehicle that needs repair?

• What is the vehicle type (e.g., Dump Truck, Bus, Semi)?

Location and Logistics

• Where is the vehicle currently located?

• Is the vehicle drivable, or does it need to be towed to a repair shop or serviced via mobile repair?

Issue Description

• Can you describe the specific issues or symptoms the vehicle is experiencing?

• Are there any warning lights or error messages displayed on the vehicle's dashboard?

• When did the issue first occur, and has it been consistent or intermittent?

• Has the vehicle undergone any recent repairs or maintenance? If so, please provide details.

• Is there any visible damage to the vehicle? If yes, please describe.

• What was the last service performed on the vehicle? When was the last preventative maintenance done?

Additional Information

• Can you provide photos of the vehicle and the issue (if available)?

• What is the priority/urgency level of this repair?

• What is your preferred scheduling window for the repair?

Service Request Intake Questions
Agency Information
Vehicle Information
Location and Logistics
Issue Description
Additional Information

File details come from the government source that posted it. Updated .