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TA
Excelerator
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SSI
Road Call Service Form
Choose a Company
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Big M
C&W Leasing
Dedicated Logistics
FedEx
Hodges
Ledwell
Lewis Express
MC Express
Melton
RE Garrison
Royal
Sindle
SMT
Sky
TSIMCO
Watkins
Woodfield
Other
Driver Type
Company Driver
Owner Operator
Is this an accident?
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Yes
No
Download Accident Form
Please Specify Company
FedEx Employee Name
Employee ID
Hub
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Called In By (Name)
Phone Number
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Driver's Name
Driver Phone Number
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Complaint
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Truck Number
Mileage / Last 8 of VIN
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Trailer Number
Loaded or Empty?
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Empty
Loaded
Unknown
What is their Load Number?
What is the weight?
Destination City
Destination State
Customer Name
Unit Affected
Tractor
Trailer
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Location Name
Location Address
City
State
Reference Points
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Is this a tire-related breakdown?
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Yes
No
Tire Size
Tire Position
Spare (Yes/No)
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Yes
No
Rim Type
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Steel
Aluminum
Any other damage? (e.g., Mudflap, Bracket, Rim)
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No
Yes
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Description of Breakdown
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Pictures Requested
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Yes
No
Pictures Received
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Waiting
Yes
No
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Vendor Name
Loves/TA WO Number
(if applicable)
Dispatch Time / ETA
RC #
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