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Assetsrichard.mills2@gmr.net2025-03-28T11:23:51-05:00

Asset Inventory Form

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MM slash DD slash YYYY
If no Serial Number enter “N/A”
I.E. Kenwood, Motorola, Physio-Control, ETC.
If No Model Number enter “N/A”
Full Unit Number
Truck/Vehicle Number

Photos

Max. file size: 16 MB.
Photo of Entire Device
Max. file size: 16 MB.
Device Information Panel (I.E. Serial Number, Model Number, Date of Manufacture, etc)
Drop files here or
Max. file size: 16 MB.
    Upload photos of damage and wear and tear. (Can Upload Multiple photos)
    Attestation(Required)
    I attest that the information above is true and accurate and I personally am the one that gathered this information and entered it into this form.
    Attested By:(Required)
    Clear Signature

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