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2. County Vehicle Service

   (Every 6,000 miles or 6 months)
   We request that you only use this form to schedule at least five working days in advance. Otherwise, please call to see if we can fit you in sooner.

4. Name (First and Last)
5. Email
7. Department
8. Vehicle Number
10. Shop Requested

    1. Bisbee
    2. Willcox

    Vehicles located north of Highway 82 schedule at Willcox.

11. Request to Wait for Vehicle

    1. Yes
    2. No

    Please make sure you are on time

13. Date and Time Requested
    Date and Time Requested

    Date and Time Requested

    First Choice

14. Date and Time Requested (2nd Choice)
    Date and Time Requested (2nd Choice)

    Date and Time Requested (2nd Choice)

    Second Choice

16. Other issues you are having with your vehicle
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field