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Survey Report for Mobility Assistance Vehicle Mobile App

The Survey Report for Mobility Assistance Vehicle mobile app includes detailed checklists specific to Mobility Assistance Vehicles. The app covers items such as equipment, medications and supplies. GoCanvas was built to allow our users easy access to data collected.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Survey Report for Mobility Assistance Vehicle Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Provider Name

  • Ico textbox

    Name on Vehicle

  • Ico textbox

    License Plate No.

  • Ico textbox

    Vehicle Rec.

  • Ico textbox

    VIN Number

  • Ico date

    Survey Date

  • Ico checkbox

    Annual

  • Ico checkbox

    Original

  • Ico checkbox

    Application and check or money order received.

  • Ico checkbox

    Application information matches vehicle

  • Ico integer

    Model Year

  • Ico decimal

    Mileage

  • Ico checkbox

    Valid DMV registration

  • Ico date

    Exp:

  • Ico checkbox

    Valid Insurance card

  • Ico date

    Exp:

  • Ico checkbox

    Valid passing DMV sticker

  • Ico date

    Exp:

  • Ico checkbox

    Tires do not show signs of abnormal wear

  • Ico checkbox

    Exhaust system free of loose, or leaking joints, holes, leaking seams or patches

  • Ico checkbox

    Tail pipe extends beyond body and is not pinched or damaged

  • Ico checkbox

    All seats and wheelchairs have approved auto-type seat belts: seatbelt attached to wheelchair

  • Ico checkbox

    Glazing free of cracks, sharp edges, discoloration

  • Ico checkbox

    Heater - A/C working appropriately

  • Ico checkbox

    All door and window gaskets in good condition

  • Ico checkbox

    Full trade name 4" high on each side (as it appears on the vehicle license)

  • Ico checkbox

    Veh rec # on each side and rear 3" high

  • Ico checkbox

    8" Symbols of access for the handicapped on both sides and rear

  • ...and More!

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