Maintenance Request Form
County Name:
KING
Customer Contact Information
Contact Name:
Agency:
Contact Phone:
* Contact Email:
Vehicle Information
License Plate #:
Make:
Model:
Odometer:
Service Needed:
Intermediate (B) Service (15K, 45K, 75K, 105K mile)
Major (C) Service (30K, 60K, 90K, 120K mile)
Other Type of Service (Please indicate below)
Loaner Vehicle Needed?
Desired Date:
Time:
Specific Problems (Rattles, Noises, etc.) that needs to be addressed or Comments:
* A copy of the message will be sent to this email address.
