Washington County Fire and Rescue Association

Vehicle Addition Form

Pressing Submit Will Save your information Directly to WCVFRA without further submission

First We need to Collect a bit of information about you and the data

Select Company for Entry   

Date     :

     Year of Vehicle     :

     Manufacturer of Vehicle     :

     Model of Vehicle      :

     Type of Vehicle (Chief's car, Pumper, Brush Truck, Ambulance etc.)     :

     VIN of Vehicle     :

     Vehicle Weight if applicable     :

     Vehicle Title #     :

     Vehicle License # if known     :

     Amount of Insurance (total value) of vehicle$     :

     Lender (if applicable)      :

     Amount Financed  $       :

     Lender Address            :

     Lender Town      :    Lender State     :     Lender zip      :

 

 

 Person Completing Form :    Completer's Email :

 Completer's Phone :