Ticket Form – Pro-Lease Trucking

PRO-LEASE TICKET FORM

Truck Number

Driver ID

Name

Email

Phone

Truck Location

Who is your IC Advisor or Planner

Please Select One

Is Your Truck in Derate?

Yes No

If Truck is in Derate How Many Hours Are Left?

Is There a Check Engine Light On?

Yes No

Please Describe Check Engine Light

Are You Under a Load?

Yes Yes Critical Load No

When is Delivery Due?

Are you on a 10 or 34 HR break?

Yes, I want to try to resolve the issue during my break. Yes, but I will need to address issue after my break. No

Please Provide a Brief Description of Issue / Question