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Work Request
For emergencies, please contact us at 855.870.7250
[email protected]
Service Requested
New Install: Camera Only (Requires remount kit)
New Install: Camera and Geotab (Requires remount kit and Geotab w/correct cable)
Service/Repair of existing Camera (Enter camera issue below)
Removal
Company Name
Site Name and Address
Site Point of Contact Name
Site Point of Contact Phone Number
Site Point of Contact Email Address
Truck Information Make, Model, Year
Optional
Truck Number as named in SureCam system
Optional
Geotab Serial Number linked to vehicle
Optional
Service/Repair Information
Optional
New Install Parts Request
Install Kit (existing camera re-install)
Repair Parts (Power Cable)
Repair Parts (Antenna)
Repair Parts (Windshield Mount)
Other Parts (please list in notes)
Additional Notes
Optional
Submit