
Mark each item: Issued (provided by JASKO), Contractor-Owned, or N/A. JASKO documents only what JASKO provides, pays for, or administers. Personally owned equipment, independent accounts, and credentials under the contractor's own authority remain the contractor's. This record is reconciled at contract end.
| Item | Issued | Own | N/A | ID / Serial / Notes |
|---|---|---|---|---|
| Equipment & Devices | ||||
| JASKO trailer and related equipment | ||||
| Motive ELD | ||||
| Dashcam (road-facing) | ||||
| Vehicle gateway, cables, mounts, accessories | ||||
| Toll transponder (Bestpass / PrePass / other) | ||||
| Load locks, straps, keys, other issued equipment | ||||
| Cards, Plates & Permits | ||||
| Fuel card (EFS or other) | ||||
| JASKO-issued credit card (road business expenses) | ||||
| License plates, registration, permits (via JASKO) | ||||
| IFTA credentials and decals (JASKO account) | ||||
| JASKO company decals and identification | ||||
| Services & Account Enrollment | ||||
| Fuel purchasing program | ||||
| Toll services (linked plates) | ||||
| Weigh-station bypass service | ||||
| ELD / dashcam / tracking subscriptions | ||||
| Parking or other company-provided services | ||||
All items marked Issued above were returned. Exceptions (list):
Trailer returned to: Buckeye, AZ yard Other (written authorization):
JASKO decals/identification removed — photographs received. Documents complete & legible (BOLs/PODs verified).
Services deactivated (date/time): Verified by:
Fill in on screen, then print or save as PDF for the contractor file. Nothing typed here is sent to or stored on the website — the form works entirely in your browser.