Adirondack Fire Equipment

Vehicle Information Form
Aerial Ladder / Platform

Customer: Fire Department / Owner:   Contact:
Daytime Phone:   Fax:   Email:
Address:
City:   State:   Zip:
Apparatus: Year:   Manufacturer:   Model:
Body Material:   Number of Cabinets:
Chassis: Make:   Model:
VIN #:   Mileage:
Height:   Width:   Length:   GVW:   Wheel Base:
Number of Axles:  Cab Type:   Cab Material:    Color:
Number of Occupants:   Number of Seats:   Number of SCBA Seats:   Number SCBA Holders:
Power Steering:   Brakes: Air   Hydraulic   Anti-lock   Air Conditioning   Under Coat:

Engine:

 Make:   Model:   Type:   Fuel:  Turbo:
Horsepower:   Number of Cylinders:    Hours:
Transmission: Make:   Model: Type:   Speeds:   Jake Brake:

Ladders:

 Quint:   Last test date:   Ladder Hours: Height:
Ladder Manufacturer:   Material:   Rear or Mid Mount:
Pre-piped Waterway:   Intercom:   Tip load:
Generator:   Watts:   Type:   Brand:
Ground Ladder Sizes:
Platforms: Quint:   Last test date:   Ladder Hours: Height:
Ladder Manufacturer:   Material:   Rear or Mid Mount:
Intercom:   Bucket Capacity:   Nozzle:   Single:   Dual:   Automatic:
Quartz Lights in Bucket:   Number:
General Information: Special Features:

Equipment Included:

Repairs Needed:

Rust or Corrosion Areas:

Reason For Sale:

Date Available:

Asking Price:

Additional Comments: