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Road Call Service Form
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Big M
C&W Leasing
DLI
FedEx
Hodges
ITS
Ledwell
Lewis Express
MC Express
Melton
Mid South Transport
RE Garrison
Royal
Sindle
SMT
Sky
TSIMCO
Watkins
Woodfield
Other
Driver Type
*
Company Driver
Owner Operator
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Is this an accident?
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Yes
No
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Is this a DOD/Safe Transfer Unit?
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Yes
No
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?
Delivery Destination
Delivery Date/Time
Is this a Class 1 load?
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Yes
No
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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