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2. 
4. Apparatus Equipment Change Request
6. Date*
   Date

   Date
7. Item*

   1. New
   2. Existing
8. In-Service Required*

   1. Yes
   2. No
10. Item Description*
12. Serial Number
13. Make/ Model Number
15. Item Location
17. Inventory ID (If New Item)
19. New Location Requested*
21. Requestor*
22. Battalion Chief*
24. Status

    1. Approved
    2. Denied
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

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