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Fuelman Card Request
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* Indicates required question
Email
*
Your email
This form must be completed to order a fuel man card. Your card will arrive between 7-10 business days.
Your answer
Vehicle Number and Department ( please include all numbers and letters).
*
Your answer
Reason for Request
*
Lost
Stolen
Damaged
New Vehicle assignment
When was card last used?
MM
/
DD
/
YYYY
Where was card last used?
Your answer
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