Miller Pipeline Equipment Rental Form - Midwest

This form to be used for any equipment or tools that are rented to perform work. This could include: equipment, hand tools, safety apparatuses, traffic control, shoring equipment, vehicles/trailers, etc.

Please fill out a form for EACH item being rented.

Foreman Name*

First Name

Last Name

Supervisor / Manager Name*

Item Required*

Vendor you will rent from*

Location*

Address Line 1

Address Line 2

City

State

Job Number*

Rental Start Date*

Estimated Return Date*

Reimbursable*

Yes No

Your email address for confirmation*