Damaged Equipment Report HomeDamaged Equipment Report Equipment Service Request Name(Required) Date(Required) MM slash DD slash YYYY Damaged Gear(Required) Please describe the item that requires attention/maintenance. Ambulance/Apparatus(Required)Medic 30Medic 3130493059306930793089Misc. Location - Non FleetNot ApplicablePlease indicate the location of the damaged equipment. Description of Damage(Required)Please describe the damage to the noted device.Device Disposition(Required)In Service - Still FunctionalOut of Service - Non FunctionalNot ApplicablePlease indicate if the device can remain "in service" or the damage requires the device to be taken "out of service".