Commercial / Fleet Glass Damage Report

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CUSTOMER
Name:company name
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Requester:name of requester
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Phone:requester phone number
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Address:company address
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Dept/Location:department or location
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VEHICLE
Vehicle Year:year of your vehicle
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Vehicle Make:i.e. Ford
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Vehicle Model:i.e. Explorer
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VIN:vin number
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Unit #:
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PO #:
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Need By:date needed
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Notes:additional comments
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