Damage Report – Falls Delivery

Van Damage Report

Complete this form to report any damage to your van.

Do NOT report safety issues or burnt out lights on this form. Report those directly to Zack for immediate repair or so that you can be swapped to a different van.

Please report all damage in a single submission.

If there's no damage, then no report is needed. Have a great day!

You do not have to keep reporting the same damage. If you reported any specific damage in the last 7 days, do not report it again. However, if your last report of that specific damage was more than 7 days ago, please do report it again (so that it gets fixed!).

If in doubt, report it.

What is your name? *

What is the van #? *

What are you reporting? *Physical DamageGlass / Windshield DamageDashboard / Warning LightSomething Else

This damage is: *New Damage (I'm reporting for the first time)Old Damage (that I've reported before)

Please describe the damage: *Use speech-to-text (the microphone button) and describe the damage. More words is better.

Pictures of any new damage:

Please take pictures of the damage with the camera app on the rabbit, and upload them here. This is only necessary for new damage you are reporting for the first time. You can attach multiple photos here.

Please wait for photo uploads to complete before submitting report.