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Employee Request for Vehicle Services Form

  1. This form is for the use of Town of Burns Harbor employees.
  2. Town of Burns Harbor employees use this form to request service or repairs to a vehicle owned by the Town of Burns Harbor.
  3. Please use one form per request.
  4. Contact Information
  5. If there is any additional information about your request that you would like the service provider to be aware of, please include in notes.

  6. Leave This Blank:

  7. This field is not part of the form submission.