Scissor Lift Extension Request Form

Scissor Lift Extension Request Form
Submit this form to request approval for extending the use or loan period of a scissor lift. Please provide accurate details to ensure timely processing.
Full Name
First NameLast Name
Department or Team
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Scissor Lift ID or Serial Number
Current Loan End Date
MonthDayYear
Date
Requested Extension End Date
MonthDayYear
Date
Reason for Extension
Supervisor or Manager Name
Additional Comments (if any)
Should be Empty: