New/Closed Business Location – FleetGenius Team Forms

New or Closing Business?

Work Site Location

Address Line 1

Address Line 2

City

State

Zip Code

Customer Name

Who are we providing the services for?

Description of Work

Please provide a brief description of the work we will be providing.

Are types with

Anticipated Work Begin Date

Last Date Work Will Be Performed

Name of Manager/Person with Oversight

First

Last

Will the work be performed by FG Team Members or Contractors?

Will any FG Team Members reside in different state(s)? If so, what state(s)?

Do we need to hire FG workers?

What types of positions are needed?

Are FG Team Members retaining employment?

If so, what location are they being re-assigned to?