*If replacing a part PLEASE acknowledge which side of the vehicle part is located at (Left or Right)

*DO NOT ABBREVIATE, WRITE EVERYTHING OUT!

* Submit photographs of parts immediately to PSRO@PitStopFleet.com with your name and VIN # of vehicle serviced in subject line

Name Of Pit Stop Technician and Truck #

Unit #

Date

YYYY

Year/Make/Model

Current Mileage of Vehicle Serviced

Tag # and U.S. State of Vehicle Serviced

VIN # of Vehicle Serviced

Tire Size (With Speed)

Number of Tires

Repair Description

Customer Supplied Tires or Parts?

Tire Brand and Model (If Supplied By Pit Stop)

Part # and Brand (If Supplied By Pit Stop)

LOF Option (If none completed select N/A)

Air Filter (Select yes if completed)

***RECOMMENDATIONS***