Logistical Services

UMDNJ
Logistical Services
Vehicle Repair Facility
(973) 972-9420
Maintenance/Repair Order

TODAY'S DATE:
UNIT # (IF APPLICABLE)
LICENSE PLATE #:
YEAR,MAKE, & MODEL
VEHICLE MILEAGE:
DEPARTMENT NAME:
YOUR NAME:
TELEPHONE #:
CAMPUS:
E-MAIL ADDRESS:

INVOICE #
TECHNICIAN:

PLEASE CHECK APPLICABLE BOXES

	ENGINE & PERFORMANCE
	TRANSMISSION/DRIVE TRAIN
	TIRES/WHEELS
	STEERING/FRONT END
	LIGHTS/SIGNALS/SIRENS
	EQUIPMENT/ACCESSORIES
	ROAD TEST
	WASH/REFUEL

DESCRIBE SERVICE REQUESTED:

PLEASE DO NOT WRITE BELOW THIS LINE!

	LABOR HOURS





TOTAL HOURS	0.0

PART #	DESCRIPTION
	44444




COSTS

WORK PERFORMED BY AN OUTSIDE VENDOR





	LABOR COST:
	PARTS COST:
	OUTSIDE VENDOR:
	TOTAL REPAIR COST:	$0.00