Municipal Office Machinery Requisition Form
Submit a request to obtain machinery or equipment for official municipal office use.
Full Name of Requester
*
First Name
Last Name
Department/Unit
*
Please Select
Public Works
Sanitation
Parks & Recreation
Transportation
Facilities Management
Water & Sewer
Other
Official Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Machinery/Equipment Requested
*
Please Select
Excavator
Loader
Bulldozer
Dump Truck
Forklift
Tractor
Other
Model or Specification (if known)
Quantity Needed
*
Purpose of Requisition
*
Date Machinery is Required
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Urgency Level
*
Routine
Urgent
Emergency
Supervisor/Manager Name
*
First Name
Last Name
Supervisor/Manager Email
*
example@example.com
Supporting Documents (if any)
Upload a File
Drag and drop files here
Choose a file
Cancel
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Additional Comments or Special Instructions
Submit Requisition
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