Vehicle Status (In/Out of Service) HomeVehicle Status (In/Out of Service) Vehicle Status Form (In/Out of Service) Complete this form for any time any BVA apparatus is either put in service, or taken out of service. Date(Required) MM slash DD slash YYYY Vehicle(Required)30493059306930793089Medic 30Medic 31Vehicle Status(Required)In Service (Returning to service)Out of Service (Being taken OOS)Mileage(Required) Equipment CheckPlease Indicate Present Items(Required) Cell Phone / Charger Ipad Portable Radios (x2) MDT (powered down) Please keep the cell phone, Ipad, and portable radios on the vehicle unless otherwise requested by an agency officer.Cardiac Monitor(Required)LP15 1LP15 2LP15 3LP15 4LP15 5LP15 6LP15 7ALS Medication Box (Orange)(Required)Box 1Box 2Box 3Box 4Box 5Box 6Box 7Box 8BLS Response Bag / Oxygen Sleeve(Required)Response Bag 1Response Bag 2Response Bag 3Response Bag 4Response Bag 5Response Bag 6Response Bag 7Response Bag 8Submitting Crew Member (Name)(Required) Comments / Concerns