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Vehicle Inventory Data Sheet
State of Oklahoma
Office of Management and Enterprise Services
Division of Capital Assets Management
Fleet Management Department
mfr@omes.ok.gov / fax: 405-525-2682 / 317 N.E. 31
st
Street, Suite A, Oklahoma City, OK 73105-4003
>>>Attach copy of the title and approved DCAM-FORM-FM-016, if applicable<<<
General Information:
Agency Name: Agency Number:
Division Name: Division Number:
Fleet Contact: Title / Position:
Phone: Fax: E-Mail:
Vehicle Assignment and Location:
Vehicle Parked at: Primary State Office Field Office
Home (submit Form 022), then:
Driven from Home to Work, or Work from Home
Vehicle Parked County (name & #): City: Zip:
Shared Vehicle: Yes No, employee name:
Vehicle Acquisition Data:
Acquired through (check one): Purchase Seizure Donation Transfer
Vendor: Model Code:
Purchase Amount: Purchase Order #:
Acquisition Meter: Acquisition Date:
In Service Meter: In Service Date:
Vehicle Initial Inventory Data:
VIN (17 char): Tag # (must attach copy of the title):
Agency Vehicle #: Marked: Yes No Color:
Year: Make: Model: Trim:
Vehicle Designation: Passenger, # of seats: Cargo Truck
Body Type (check one): 2-door 3-door 4-door Extended Cab Quad/Crew Cab
Drive Train Type: FWD RWD AWD 4WD
Special Equipment: Lift Hitch Bed Cover Other:
Fuel Supply Information:
Fuel Supply: OEM Converted Tank(s) Capacity:
Dedicated Type: Diesel Unleaded CNG Propane Electric
Bi-Fuel Type: Flex Fuel Bi-Fuel CNG Bi-Fuel Propane Hybrid
Disposal /Sale Information:
Date: Ending Odometer / Hour: Amount:
Disposal Type (check one): Open Auction Consignment Sealed Bid Transfer Theft Wreck
DCAM/FLEET - FORM 017 (05/2014) PAGE 1 OF 1