Form Mp6301 PDF Details

The MP6301 form, known as the DMS Fleet Management Request for Purchase of Mobile Equipment, serves as a critical document within the framework of acquiring vehicles for departmental fleets. This comprehensive form guides the requester through specifying the needs and justification for purchasing new equipment, starting from the fundamental identification of the department, request number, and detailed contact information, to a thorough description of the equipment in question, including state commodity codes, descriptions, and any specific options desired. It further delves into the status of the vehicle within the fleet, distinguishing whether it's an addition or a replacement, and requires legislative approval if it's an additional unit. The assignment section demands identifying who will be using the vehicle, paired with the justification based on specific duties and the equipment’s intended use, offering a granular view on the operational requirements. For replaced equipment, detailed specifications about the previous unit provide a clear comparison to justify the new purchase, touching on everything from fuel type and engine description to the vehicle's overall condition and operational status. The form culminates in an authorization section, necessitating a formal sign-off that all provided information is accurate and complete. Emphasizing the importance of filling out each section meticulously, the MP6301 form underscores the process's integrity for acquiring mobile equipment, ensuring that purchases are justified, well-documented, and aligned with the department's needs.

QuestionAnswer
Form NameForm Mp6301
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesDMS, dms form mp6301, REQUESTOR, 8-Cyl

Form Preview Example

DMS Fleet Management

 

 

 

 

 

 

 

 

 

Request for Purchase of Mobile Equipment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. REQUESTOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Department:

 

 

 

 

 

 

 

 

 

 

 

 

 

Request #:

 

 

 

Division:

 

 

 

 

 

 

 

 

 

 

 

 

 

Date:

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

Title:

 

 

 

Address:

 

 

 

 

 

 

 

 

 

City:

 

 

 

 

 

 

Zip:

 

 

 

Phone:

 

 

 

 

 

Fax:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. DESCRIPTION OF EQUIPMENT TO BE PURCHASED

 

 

 

 

 

 

 

 

 

 

 

 

 

State Commodity Code:

 

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

Description:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Options Requested:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. STATUS OF VEHICLE IN FLEET

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Addition to fleet: Yes

 

 

No

X

 

 

 

Specific Legislative Approval if Additional: Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D.ASSIGNMENT OF EQUIPMENT TO BE PURCHASED (Name and title of person that will be driving the vehicle)

Assignee:Title:

E. SPECIFIC DUTIES OF THE ASSIGNEE AND EQUIPMENT JUSTIFICATION

(Include specific applications for this size, options and type of equipment)

Max. Load Carried

%of Time Load Carried

Max. Number of People Carried

%of Time People Carried

Max Towed Load

% of Time Towed

F. DESCRIPTION OF REPLACED EQUIPMENT

Tag/Prop.

Number

Year

Make

Model

Vehicle Type

(Sedan, Van/15p, Etc.)

Vehicle Identification Number

Miles/ Hours

1.

Fuel Type: Gasoline

 

 

 

Diesel

 

 

 

 

(Other

 

 

 

Describe:

 

 

 

 

 

 

 

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Engine Description:

4-Cyl

 

 

 

6-Cyl

 

 

 

8-Cyl

 

 

 

(Other

 

 

 

 

 

Describe:

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Transmission: Automatic

 

 

 

(Manual

 

 

 

Speeds:

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Drive: Two Wheel Drive

 

 

 

Four Wheel Drive

 

 

 

 

Tandem

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Condition (Good, Fair or Poor):

 

(Body: ____)

(Paint: ____)

(Engine: ____) (Drive train: ____)

(Tires: ____)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

Status of Equipment: Operational

 

 

 

 

 

Non-Operational

 

 

 

 

 

(Specify if: Wrecked

 

 

 

 

Burned

 

 

Other

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

Cab Model (Trucks only): Regular

 

 

Extended

 

 

 

Crew Cab

 

 

 

 

 

 

 

 

 

 

8.Other:

G. AUTHORIZATION

 

 

 

 

 

 

 

 

Contact Name:

 

 

 

 

Phone:

 

 

 

Address:

 

 

City:

 

 

Zip:

 

Authorized Signature:

 

 

 

 

 

 

 

 

 

 

 

I do hereby certify that all the above information is true and correct.

 

 

 

*NOT COMPLETING ALL APPLICABLE SECTIONS MAY DELAY PROCESSING OF THIS REQUEST*

MP6301

(Revised 06/01/2005)