Chillicothe Active Drivers' Dealer Evaluation Form
Dealer Type
*
Kenworth
Peterbilt
International
Body/Other
Dealer Name
*
Address
City
*
ST/PROV
*
AL
AZ
AR
CA
CO
CT
DE
FL
GA
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AB
BC
MB
NB
NF
NT
NS
ON
PE
PQ
SK
YT
Type/Hook
*
Electric Hoist
Chain Hoist
Wrecker
Forklift
Other
If Other, How?
Undecking Area
Inside
Outside
Outside/Roof
Blacktop/Concrete
Gravel
Dirt
Comments/Directions
Submit
Clear Form
Should be Empty: