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Fire Dept./Owner *

Contact Person *

First

Last

Daytime Phone *

Mobile Phone

Email *

Fire Dept. Address *

Address Line 1

Address Line 2

City

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Zip Code

Nearest Airport (for scheduling inspections)

Type of Used Apparatus: *

• Aerials
• Ambulances
• Chief's Car
• Engines/Pumpers
• Mini Pumpers/Wildland/Brush
• Rescue/Squad
• Tankers

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Chief's Car

Year: *

Make: *

Engine: *

• Gas
• Diesel

AWD *

• Yes
• No

Mileage: *

Hours: *

Transmission *

• Automatic
• Manual

Vin # *

Lightbar *

• Yes
• No

Siren *

• Yes
• No

Current Blue Book Value of vehicle if known:

Estimated value of customization completed for fire service use.

If known, what was the price paid when new?

Availability Date: *

Upload Images (copy)

Drag & Drop Files, Choose Files to Upload You can upload up to 20 files.

Ambulance Body

Year: *

Manufacturer: *

Type *

• I
• II
• III

Attendant Seating: *

EMS Capabilities: # of patients *

Special Features/Equipment: *

Chassis:

Make: *

Miles: *

Brakes: *

• Air
• Hydraulic
• Anti-Lock

Air Conditioning: *

• Yes
• No

Vehicle Dimensions: Height in Ft. & In. *

Vehicle Dimensions: Length in Ft. & In. *

GVW: *

VIN#:

Wheelbase: *

4 X 4 *

• Yes
• No

Engine:

Make: *

Horsepower: *

Transmission:

Make: *

Type: *

• Automatic
• Manual

Affixed Equipment:

Lightbar: (size/type/mfg.)

Warning lights: (type/make/model)

Siren: (type/make/model)

Other:

Describe all equipment that will remain with the vehicle: (cots, etc.) *

Is the module original or has it been remounted (explain):

Is this vehicle original, or has it been refurbished? (explain):

Describe rusted or corroded areas (location and degree):

Repairs needed:

Recent work done:

Additional comments/special features:

Overall condition of vehicle: *

• Excellent
• Good
• Fair
• Poor

Reason for selling: *

Asking price: *

If known, what was the price paid when new?

Availability date: *

What has been the best feature of this vehicle when serving your community?

File Upload

Drag & Drop Files, Choose Files to Upload You can upload up to 20 files.

Aerial Platform/Ladder Truck

Engine/Pumper

Mini Pumper/Wildland/Brush

Tankers

Rescue

Apparatus:

Chassis Year: *

Chassis Manufacturer: *

Miles: *

Body Manufacturer: *

Walk-In *

• Yes
• No

If Yes, # of seats in box

Box Size:

Aerial Type: *

• Ladder
• Platform Tower
• Telesqurt
• Snorkel
• Articulating Boom
• Aerialscope
• Other

Aerial location: (rear mount, etc.)

Height: *

Waterway: (type, size, discharges)

Date of last aerial certification: *

OR will certify as condition of sale: (if no, we can't sell) *

• Yes
• No

# of Seats in Cab:

# of Occupants:

SCBA Seats:

• Yes
• No

Number of SCBA Seats (if applicable):

Brakes: *

• Air
• Hydraulic
• Anti-Lock

Air Conditioner: *

• Yes
• No

Vehicle Dimensions: (height, width, length feet & inches) *

GVW: *

VIN#:

Engine Make: *

Engine Model:

Engine Hours:

Engine: *

• Gas
• Diesel

Turbo:

• Yes
• No

4 X 4? *

• Yes
• No

Horsepower: *

Horsepower:

Transmission Make: *

Transmission Model:

Transmission *

• Manual
• Automatic

Pump Information (if applicable):

Pump Information:

Make:

Model:

GPM:

Last Pump Certification:

If over a year since certification are you willing to certify as a condition of sale? *

• Yes
• No
• Not Applicable

If over a year since certification are you willing to certify as a condition of sale? *

• Yes
• No

Water Tank Size: *

Water Tank Material:

Water Tank Size (if applicable):

Water Tank Material (if applicable):

Foam System: *

• Yes
• No
• Not Applicable

Pump & Roll:

• Yes
• No
• Not Applicable

Please provide number, size & location of the following:

Pre-connects:

Dumps:

Discharges: (number, location, pre-connects)

Intake Suctions: (number & location)

Check all equipment included in sale:

• Lightbar
• Warning Lights
• Siren
• Mobile Radio
• Generator
• Scene Lights
• SCBA
• SCBA Bottles
• Ladders
• Suction Hose
• Hose
• Hose Bed Cover
• Brass/Applicances
• Spanner/Hydrant Wrenches
• Adapters
• Pike Poles/Hooks
• Axes
• Extinguishers
• Hand Lights
• Fans/Blowers
• Deck Gun
• Booster Reel
• Winch

Extrication Equipment (please detail type)

Cascade system (please detail type)

Any additional equipment included in sale:

Is this vehicle original, or has it been refurbished? (explain):

Describe rusted or corroded areas (location & degree):

Repairs needed: *

Recent work done: *

Additional comments/special features; the more details you provide, the more likely your apparatus will come up when buyers search our site for specific apparatus features!

Overall condition of vehicle: *

• Excellent
• Good
• Fair
• Poor

Reason for selling: *

Asking Price: *

If known, what was the price paid when new?

Availability Date: *

What has been the best feature of this vehicle when serving your community?

Upload Photos

Drag & Drop Files, Choose Files to Upload You can upload up to 20 files.

Upload up to 20 images of pdf, jpg, png, jpeg files no larger than 2 MB. IF YOU HAVE TROUBLE uploading photos please e-mail images to firetec@firetec.com referencing your fire department. Thank you!

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