{"id":381,"date":"2026-06-17T18:25:49","date_gmt":"2026-06-17T18:25:49","guid":{"rendered":"https:\/\/fleetgenius-teamforms.com\/?page_id=381"},"modified":"2026-06-17T18:25:49","modified_gmt":"2026-06-17T18:25:49","slug":"issued-equipment-notice","status":"publish","type":"page","link":"https:\/\/fleetgenius-teamforms.com\/index.php\/issued-equipment-notice\/","title":{"rendered":"Issued Equipment Notice"},"content":{"rendered":"<style id=\"wpforms-css-vars-320-block-9759c198-d7ae-4cd7-a6f4-78a0ce7ef79d\">\n\t\t\t\t#wpforms-320.wpforms-block-9759c198-d7ae-4cd7-a6f4-78a0ce7ef79d {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-9759c198-d7ae-4cd7-a6f4-78a0ce7ef79d wpforms-render-modern\" id=\"wpforms-320\"><form id=\"wpforms-form-320\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"320\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/381\" data-token=\"95183eeed5a4ffc9918583cee18fbfe6\" data-token-time=\"1787642277\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-320-field_1-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_1\">Operation <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-320-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212; Select Choice &#8212;<\/option><option value=\"Antelope Valley\"  class=\"choice-1 depth-1\"  >Antelope Valley<\/option><option value=\"Atlanta North\"  class=\"choice-2 depth-1\"  >Atlanta North<\/option><option value=\"Augusta\"  class=\"choice-3 depth-1\"  >Augusta<\/option><option value=\"Carlsbad\"  class=\"choice-4 depth-1\"  >Carlsbad<\/option><option value=\"Chino\"  class=\"choice-5 depth-1\"  >Chino<\/option><option value=\"City of Santa Ana\"  class=\"choice-6 depth-1\"  >City of Santa Ana<\/option><option value=\"Clean-A-Can\"  class=\"choice-7 depth-1\"  >Clean-A-Can<\/option><option value=\"Colorado Springs\"  class=\"choice-8 depth-1\"  >Colorado Springs<\/option><option value=\"Corona\"  class=\"choice-9 depth-1\"  >Corona<\/option><option value=\"Denver\"  class=\"choice-10 depth-1\"  >Denver<\/option><option value=\"Dispatch\"  class=\"choice-11 depth-1\"  >Dispatch<\/option><option value=\"El Cajon\"  class=\"choice-12 depth-1\"  >El Cajon<\/option><option value=\"Florida\"  class=\"choice-13 depth-1\"  >Florida<\/option><option value=\"Granite Quarry\"  class=\"choice-14 depth-1\"  >Granite Quarry<\/option><option value=\"Greeley\"  class=\"choice-15 depth-1\"  >Greeley<\/option><option value=\"Houston\"  class=\"choice-16 depth-1\"  >Houston<\/option><option value=\"Lake City\"  class=\"choice-17 depth-1\"  >Lake City<\/option><option value=\"Largo\"  class=\"choice-18 depth-1\"  >Largo<\/option><option value=\"Milledgeville\"  class=\"choice-19 depth-1\"  >Milledgeville<\/option><option value=\"Moreno Valley\"  class=\"choice-20 depth-1\"  >Moreno Valley<\/option><option value=\"Norcross\"  class=\"choice-21 depth-1\"  >Norcross<\/option><option value=\"North Carolina\"  class=\"choice-22 depth-1\"  >North Carolina<\/option><option value=\"Oceanside\"  class=\"choice-23 depth-1\"  >Oceanside<\/option><option value=\"Orange\"  class=\"choice-24 depth-1\"  >Orange<\/option><option value=\"Phoenix\"  class=\"choice-25 depth-1\"  >Phoenix<\/option><option value=\"Rochester\"  class=\"choice-26 depth-1\"  >Rochester<\/option><option value=\"Scottsdale\"  class=\"choice-27 depth-1\"  >Scottsdale<\/option><option value=\"Seattle\"  class=\"choice-28 depth-1\"  >Seattle<\/option><option value=\"Stoneville\"  class=\"choice-29 depth-1\"  >Stoneville<\/option><option value=\"Tucson\"  class=\"choice-30 depth-1\"  >Tucson<\/option><option value=\"West Palm\"  class=\"choice-31 depth-1\"  >West Palm<\/option><option value=\"West Palm Beach\"  class=\"choice-32 depth-1\"  >West Palm Beach<\/option><option value=\"Winston-Salem\"  class=\"choice-33 depth-1\"  >Winston-Salem<\/option><\/select><\/div><div id=\"wpforms-320-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Team Member Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-320-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" aria-errormessage=\"wpforms-320-field_2-error\" required><label for=\"wpforms-320-field_2\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-320-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" aria-errormessage=\"wpforms-320-field_2-last-error\" required><label for=\"wpforms-320-field_2-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-320-field_3-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_3\">Date Issued <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-320-field_3\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][3][date]\" aria-errormessage=\"wpforms-320-field_3-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-320-field_4-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_4\">Department<\/label><select id=\"wpforms-320-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\"><option value=\"Driver\"  class=\"choice-1 depth-1\"  >Driver<\/option><option value=\"Yard\"  class=\"choice-2 depth-1\"  >Yard<\/option><option value=\"Welder\"  class=\"choice-3 depth-1\"  >Welder<\/option><option value=\"Supervisor\"  class=\"choice-4 depth-1\"  >Supervisor<\/option><option value=\"Manager\"  class=\"choice-5 depth-1\"  >Manager<\/option><option value=\"Admin\"  class=\"choice-6 depth-1\"  >Admin<\/option><\/select><\/div><div id=\"wpforms-320-field_5-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_5\">Equipment Type <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-320-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212; Select Choice &#8212;<\/option><option value=\"Mobile Phone\"  class=\"choice-1 depth-1\"  >Mobile Phone<\/option><option value=\"Tablet\"  class=\"choice-2 depth-1\"  >Tablet<\/option><option value=\"Gas Card\"  class=\"choice-3 depth-1\"  >Gas Card<\/option><option value=\"PPE\"  class=\"choice-4 depth-1\"  >PPE<\/option><option value=\"Computer\"  class=\"choice-5 depth-1\"  >Computer<\/option><option value=\"Other\"  class=\"choice-6 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-320-field_6-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"6\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_6\">If Other, please specify Equipment Type <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-320-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-320-field_6-error\" required><\/div><div id=\"wpforms-320-field_7-container\" class=\"wpforms-field wpforms-field-phone wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"phone\" data-field-id=\"7\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_7\">Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-320-field_7\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][7]\" aria-label=\"Phone Number\" aria-errormessage=\"wpforms-320-field_7-error\" required><\/div><div id=\"wpforms-320-field_8-container\" class=\"wpforms-field wpforms-field-number wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"number\" data-field-id=\"8\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_8\">Card Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-320-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" step=\"any\" aria-errormessage=\"wpforms-320-field_8-error\" required><\/div><div id=\"wpforms-320-field_9-container\" class=\"wpforms-field wpforms-field-camera wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"camera\" data-field-id=\"9\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_9\">Photo of Card<\/label><button type=\"button\" class=\"wpforms-camera-button wpforms-btn-secondary\" id=\"9\"><svg width=\"16\" height=\"14\" viewBox=\"0 0 16 14\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.65625 1.03125C4.875 0.40625 5.4375 0 6.09375 0H9.90625C10.5625 0 11.125 0.40625 11.3438 1.03125L11.6562 2H14C15.0938 2 16 2.90625 16 4V12C16 13.0938 15.0938 14 14 14H2C0.90625 14 0 13.0938 0 12V4C0 2.90625 0.90625 2 2 2H4.34375L4.65625 1.03125ZM8 5C6.34375 5 5 6.34375 5 8C5 9.65625 6.34375 11 8 11C9.65625 11 11 9.65625 11 8C11 6.34375 9.65625 5 8 5Z\"\/><\/svg> Capture With Your Camera<\/button><div class=\"wpforms-camera-selected-file\"><span><\/span> <button class=\"wpforms-camera-remove-file\" title=\"Remove file\"><svg width=\"13\" height=\"15\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.121.914a.853.853 0 0 1 .82-.602H8.06c.382 0 .71.247.82.602l.246.711h2.625c.492 0 .875.383.875.875a.864.864 0 0 1-.875.875H1.25A.864.864 0 0 1 .375 2.5c0-.492.383-.875.875-.875h2.625l.246-.71Zm7.629 3.774-.574 8.832c-.055.683-.63 1.23-1.313 1.23H3.137c-.684 0-1.258-.547-1.313-1.23L1.25 4.688h10.5Z\"\/><\/svg><\/button><\/div><input type=\"file\" id=\"wpforms-320-field_9\" data-rule-extension=\"jpg,jpeg,png,webm,mp4\" data-rule-maxsize=\"2097152\" name=\"wpforms_320_9\" accept=\".jpg,.jpeg,.png,.webm,.mp4\" aria-errormessage=\"wpforms-320-field_9-error\" ><div id=\"wpforms-camera-modal-320-9\" class=\"wpforms-camera-modal-overlay wpforms-camera-format-photo\"  style=\"display: none;\" data-field-id=\"9\"  data-form-id=\"320\">\n\t<div class=\"wpforms-camera-modal\">\n\t\t<div class=\"wpforms-camera-modal-header\">\n\t\t\t<div class=\"wpforms-camera-modal-title\">Camera Preview<\/div>\n\t\t\t<div class=\"wpforms-camera-modal-close\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"11\" fill=\"none\">\n\t\t\t\t\t<path d=\"M10.688 2.219 7.405 5.5l3.282 3.313a.964.964 0 0 1 0 1.406.964.964 0 0 1-1.407 0L6 6.938l-3.313 3.28a.964.964 0 0 1-1.406 0 .964.964 0 0 1 0-1.405L4.563 5.5 1.28 2.219a.964.964 0 0 1 0-1.406.964.964 0 0 1 1.407 0L6 4.092 9.281.814a.964.964 0 0 1 1.406 0 .964.964 0 0 1 0 1.406Z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t<\/div>\n\t\t<\/div>\n\n\t\t<div class=\"wpforms-camera-modal-content\">\n\t\t\t<div class=\"wpforms-camera-preview\">\n\t\t\t\t<video id=\"wpforms-camera-video-320-9\" autoplay playsinline muted disablepictureinpicture><\/video>\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-camera-error\"><\/div>\n\t\t<\/div>\n\n\t\t\t\t\t<div class=\"wpforms-camera-modal-footer\">\n\t\t\t\t<div class=\"wpforms-camera-modal-actions\">\n\t\t\t\t\t<button class=\"wpforms-camera-capture\" title=\"Capture Photo\" disabled>\n\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"24\" height=\"22\" fill=\"none\">\n\t\t\t\t\t\t\t\t<path fill=\"#fff\" d=\"M6.984 2.047C7.313 1.109 8.156.5 9.141.5h5.718c.985 0 1.829.61 2.157 1.547l.468 1.453H21c1.64 0 3 1.36 3 3v12c0 1.64-1.36 3-3 3H3c-1.64 0-3-1.36-3-3v-12c0-1.64 1.36-3 3-3h3.516l.468-1.453ZM12 8a4.501 4.501 0 0 0 0 9 4.501 4.501 0 0 0 0-9Z\"\/>\n\t\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-stop\" style=\"display:none;\">O<\/button>\n\t\t\t\t\t<div class=\"wpforms-camera-countdown\" style=\"display: none;\">\n\t\t\t\t\t\t<svg>\n\t\t\t\t\t\t\t<circle class=\"bg\" r=\"22\"><\/circle>\n\t\t\t\t\t\t\t<circle class=\"progress\" r=\"22\"><\/circle>\n\t\t\t\t\t\t<\/svg>\n\t\t\t\t\t\t<span>3<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div class=\"wpforms-camera-flip\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpforms-camera-modal-buttons\" style=\"display: none;\">\n\t\t\t\t\t<button class=\"wpforms-camera-cancel\" title=\"Retake Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept\">Use Photo<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-accept-crop\" style=\"display: none;\">Apply Crop<\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop\" title=\"Crop Photo\"><\/button>\n\t\t\t\t\t<button class=\"wpforms-camera-crop-cancel\" title=\"Cancel Crop\" style=\"display: none;\"><\/button>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\n\t\t<canvas id=\"wpforms-camera-canvas-320-9\" style=\"display:none;\"><\/canvas>\n\t<\/div>\n<\/div>\n<\/div><div id=\"wpforms-320-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"10\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_10\">PPE Items <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-320-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212; Select Choice &#8212;<\/option><option value=\"Face Shield\"  class=\"choice-1 depth-1\"  >Face Shield<\/option><option value=\"Footwear with Safety Toe\"  class=\"choice-2 depth-1\"  >Footwear with Safety Toe<\/option><option value=\"Full-face Respirator\"  class=\"choice-3 depth-1\"  >Full-face Respirator<\/option><option value=\"Half-face Respirator\"  class=\"choice-4 depth-1\"  >Half-face Respirator<\/option><option value=\"Gloves\"  class=\"choice-5 depth-1\"  >Gloves<\/option><option value=\"Harness\"  class=\"choice-6 depth-1\"  >Harness<\/option><option value=\"High-visibility Vest\"  class=\"choice-7 depth-1\"  >High-visibility Vest<\/option><option value=\"Lanyard\"  class=\"choice-8 depth-1\"  >Lanyard<\/option><option value=\"Rain Suit\"  class=\"choice-9 depth-1\"  >Rain Suit<\/option><option value=\"Safety Glasses\/Goggles\"  class=\"choice-10 depth-1\"  >Safety Glasses\/Goggles<\/option><option value=\"Welding Apron\"  class=\"choice-11 depth-1\"  >Welding Apron<\/option><option value=\"Welding Gloves\"  class=\"choice-12 depth-1\"  >Welding Gloves<\/option><option value=\"Welding Helmet\"  class=\"choice-13 depth-1\"  >Welding Helmet<\/option><option value=\"Welding Jacket\"  class=\"choice-14 depth-1\"  >Welding Jacket<\/option><option value=\"Other\"  class=\"choice-15 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-320-field_11-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"11\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_11\">If Other, please specify PPE Item <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-320-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-320-field_11-error\" required><\/div>\t\t<div id=\"wpforms-320-field_21-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"21\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-320-field_21\" >Other, Purchased please<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-320-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-320-field_12-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"12\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_12\">Computer Brand <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-320-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-320-field_12-error\" required><\/div><div id=\"wpforms-320-field_13-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"13\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_13\">Store Purchased At <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-320-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-320-field_13-error\" required><\/div><div id=\"wpforms-320-field_14-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"date-time\" data-field-id=\"14\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Month &amp; Year Purchased<\/legend><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-small\"><select name=\"wpforms[fields][14][date][m]\" id=\"wpforms-320-field_14-month\" class=\"wpforms-field-date-time-date-month\" aria-label=\"Month\" ><option value=\"\" class=\"placeholder\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select><select name=\"wpforms[fields][14][date][d]\" id=\"wpforms-320-field_14-day\" class=\"wpforms-field-date-time-date-day\" aria-label=\"Day\" ><option value=\"\" class=\"placeholder\" selected disabled>DD<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><select name=\"wpforms[fields][14][date][y]\" id=\"wpforms-320-field_14-year\" class=\"wpforms-field-date-time-date-year\" aria-label=\"Year\" ><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><\/div><\/fieldset><\/div><div id=\"wpforms-320-field_15-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"15\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_15\">Serial Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-320-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-320-field_15-error\" required><\/div><div id=\"wpforms-320-field_16-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"16\"><fieldset><legend class=\"wpforms-field-label\">Manager Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-320-field_16\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][16][first]\" aria-errormessage=\"wpforms-320-field_16-error\" required><label for=\"wpforms-320-field_16\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-320-field_16-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][16][last]\" aria-errormessage=\"wpforms-320-field_16-last-error\" required><label for=\"wpforms-320-field_16-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-320-field_17-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_17\">Manager Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-320-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" spellcheck=\"false\" aria-errormessage=\"wpforms-320-field_17-error\" required><\/div><div id=\"wpforms-320-field_18-container\" class=\"wpforms-field wpforms-field-signature\" data-field-type=\"signature\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_18\">Manager Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-320-field_18\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][18]\" autocomplete=\"off\" inputmode=\"none\" aria-errormessage=\"wpforms-320-field_18-error\" required><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\" data-input-method=\"draw\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-320-field_18-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><div id=\"wpforms-320-field_19-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"19\"><div id=\"wpforms-320-field_19\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-320-field_19-error\"><h5>I acknowledge that while I am working for FleetGenius, LLC, I will take proper care of all company equipment that I am entrusted with and that I will only use said property for company related tasks. I further understand that upon termination, I will return all property of FleetGenius, LLC and that the property will be returned in proper working order. I understand I may be held financially responsible for damaged property. This agreement includes, but is not limited to, mobile devices, accessories for mobile devices, computers, and replacement gas cards. I understand that failure to return equipment will be considered theft and may lead to criminal prosecution by FleetGenius, LLC.<\/h5>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-320-field_20-container\" class=\"wpforms-field wpforms-field-signature\" data-field-type=\"signature\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-320-field_20\">Team Member Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-320-field_20\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][20]\" autocomplete=\"off\" inputmode=\"none\" aria-errormessage=\"wpforms-320-field_20-error\" required><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\" data-input-method=\"draw\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-320-field_20-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-320-field_21-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-320-field_21-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-320-field_21-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"320\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/fleetgenius-teamforms.com\/index.php\/wp-json\/wp\/v2\/pages\/381\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-320\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/fleetgenius-teamforms.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-381","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/fleetgenius-teamforms.com\/index.php\/wp-json\/wp\/v2\/pages\/381","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fleetgenius-teamforms.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fleetgenius-teamforms.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fleetgenius-teamforms.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/fleetgenius-teamforms.com\/index.php\/wp-json\/wp\/v2\/comments?post=381"}],"version-history":[{"count":1,"href":"https:\/\/fleetgenius-teamforms.com\/index.php\/wp-json\/wp\/v2\/pages\/381\/revisions"}],"predecessor-version":[{"id":382,"href":"https:\/\/fleetgenius-teamforms.com\/index.php\/wp-json\/wp\/v2\/pages\/381\/revisions\/382"}],"wp:attachment":[{"href":"https:\/\/fleetgenius-teamforms.com\/index.php\/wp-json\/wp\/v2\/media?parent=381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}