{"id":233,"date":"2019-05-02T02:47:52","date_gmt":"2019-05-02T07:47:52","guid":{"rendered":"http:\/\/kinneyscommercial.com\/forms\/?page_id=233"},"modified":"2019-05-02T02:51:10","modified_gmt":"2019-05-02T07:51:10","slug":"drivers-vehicle-inspection-report","status":"publish","type":"page","link":"https:\/\/kinneyscommercial.com\/forms\/drivers-vehicle-inspection-report\/","title":{"rendered":"Driver\u2019s Vehicle Inspection Report"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_14' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Driver\u2019s Vehicle Inspection Report<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_14'  action='\/forms\/wp-json\/wp\/v2\/pages\/233' data-formid='14' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LfuwP0pAAAAAOSSfNo4m6zbVMrZDh_vdMZEpZh1' data-tabindex='0'><input id=\"input_59df92329d286a5eea14c73eef94a162\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_59df92329d286a5eea14c73eef94a162\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_14' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_14_15\" class=\"gfield gfield--type-html gfield--input-type-html gf_left_half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Carrier:<\/strong> Kinney\u2019s Commercial<\/li><li id=\"field_14_16\" class=\"gfield gfield--type-html gfield--input-type-html gf_right_half gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><strong>Address:<\/strong> 15404 Marsha St. Austin, TX 78728<\/li><li id=\"field_14_17\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/li><li id=\"field_14_3\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_3'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_3' id='input_14_3' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_14_3_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_14_3_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_14_3' class='gform_hidden' value='https:\/\/kinneyscommercial.com\/forms\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_14_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_23'>Tractor\/Truck #:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_14_23' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_4\" class=\"gfield gfield--type-time gfield--input-type-time gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Time<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class=\"ginput_container ginput_complex gform-grid-row\"><div class=\"clear-multi\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_14_4'>\n                            <input type='number' name='input_4[]' id='input_14_4_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='true'   \/> <i>:<\/i>\n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_14_4_1'>Hours<\/label>\n                        <\/div>\n                        \n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_4[]' id='input_14_4_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_14_4_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_4[]' id='input_14_4_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_14_4_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/div><\/li><li id=\"field_14_6\" class=\"gfield gfield--type-number gfield--input-type-number gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_6'>Odometer Reading:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_6' id='input_14_6' type='number' step='any'   value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_14_27\" class=\"gfield gfield--type-post_image gfield--input-type-post_image gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_27'>Odometer Picture:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_post_image gform-grid-row'><span class='ginput_full gform-grid-col'><input name='input_27' id='input_14_27' type='file' class='large'  aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_upload_rules_14_27\" \/><span id='gfield_upload_rules_14_27' class='gfield_description gform_fileupload_rules'>Accepted file types: jpg, jpeg, png, gif.<\/span><\/span><\/div><\/li><li id=\"field_14_26\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_14_26'>\n                            \n                            <span id='input_14_26_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_26.3' id='input_14_26_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_14_26_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_14_26_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_26.6' id='input_14_26_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_14_26_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_14_18\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><div class='gsection_description' id='gfield_description_14_18'>CHECK ANY DEFECTIVE ITEM AND GIVE DETAILS UNDER \"REMARKS\"<\/div><\/li><li id=\"field_14_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_3col field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_14_8'><li class='gchoice gchoice_14_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Air Compressor'  id='choice_14_8_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_1' id='label_14_8_1' class='gform-field-label gform-field-label--type-inline'>Air Compressor<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='Air Lines'  id='choice_14_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_2' id='label_14_8_2' class='gform-field-label gform-field-label--type-inline'>Air Lines<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Battery'  id='choice_14_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_3' id='label_14_8_3' class='gform-field-label gform-field-label--type-inline'>Battery<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Belts and Hoses'  id='choice_14_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_4' id='label_14_8_4' class='gform-field-label gform-field-label--type-inline'>Belts and Hoses<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.5' type='checkbox'  value='Body'  id='choice_14_8_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_5' id='label_14_8_5' class='gform-field-label gform-field-label--type-inline'>Body<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.6' type='checkbox'  value='Brake Accessories'  id='choice_14_8_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_6' id='label_14_8_6' class='gform-field-label gform-field-label--type-inline'>Brake Accessories<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.7' type='checkbox'  value='Brakes, Parking'  id='choice_14_8_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_7' id='label_14_8_7' class='gform-field-label gform-field-label--type-inline'>Brakes, Parking<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.8' type='checkbox'  value='Brakes, Service'  id='choice_14_8_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_8' id='label_14_8_8' class='gform-field-label gform-field-label--type-inline'>Brakes, Service<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.9' type='checkbox'  value='Clutch'  id='choice_14_8_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_9' id='label_14_8_9' class='gform-field-label gform-field-label--type-inline'>Clutch<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.11' type='checkbox'  value='Coupling Devices'  id='choice_14_8_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_11' id='label_14_8_11' class='gform-field-label gform-field-label--type-inline'>Coupling Devices<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.12' type='checkbox'  value='Defroster\/Heater'  id='choice_14_8_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_12' id='label_14_8_12' class='gform-field-label gform-field-label--type-inline'>Defroster\/Heater<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.13' type='checkbox'  value='Drive Line'  id='choice_14_8_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_13' id='label_14_8_13' class='gform-field-label gform-field-label--type-inline'>Drive Line<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.14' type='checkbox'  value='Engine'  id='choice_14_8_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_14' id='label_14_8_14' class='gform-field-label gform-field-label--type-inline'>Engine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.15' type='checkbox'  value='Exhaust'  id='choice_14_8_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_15' id='label_14_8_15' class='gform-field-label gform-field-label--type-inline'>Exhaust<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.16' type='checkbox'  value='Fifth Wheel'  id='choice_14_8_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_16' id='label_14_8_16' class='gform-field-label gform-field-label--type-inline'>Fifth Wheel<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.17' type='checkbox'  value='Fluid Levels'  id='choice_14_8_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_17' id='label_14_8_17' class='gform-field-label gform-field-label--type-inline'>Fluid Levels<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.18' type='checkbox'  value='Frame and Assembly'  id='choice_14_8_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_18' id='label_14_8_18' class='gform-field-label gform-field-label--type-inline'>Frame and Assembly<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.19' type='checkbox'  value='Front Axle'  id='choice_14_8_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_19' id='label_14_8_19' class='gform-field-label gform-field-label--type-inline'>Front Axle<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.21' type='checkbox'  value='Fuel Tanks'  id='choice_14_8_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_21' id='label_14_8_21' class='gform-field-label gform-field-label--type-inline'>Fuel Tanks<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.22' type='checkbox'  value='Horn'  id='choice_14_8_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_22' id='label_14_8_22' class='gform-field-label gform-field-label--type-inline'>Horn<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.23' type='checkbox'  value='Lights'  id='choice_14_8_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_23' id='label_14_8_23' class='gform-field-label gform-field-label--type-inline'>Lights<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.24' type='checkbox'  value='Mirrors'  id='choice_14_8_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_24' id='label_14_8_24' class='gform-field-label gform-field-label--type-inline'>Mirrors<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.25' type='checkbox'  value='Muffler'  id='choice_14_8_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_25' id='label_14_8_25' class='gform-field-label gform-field-label--type-inline'>Muffler<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.26' type='checkbox'  value='Oil Pressure'  id='choice_14_8_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_26' id='label_14_8_26' class='gform-field-label gform-field-label--type-inline'>Oil Pressure<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.27' type='checkbox'  value='Radiator'  id='choice_14_8_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_27' id='label_14_8_27' class='gform-field-label gform-field-label--type-inline'>Radiator<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.28' type='checkbox'  value='Rear End'  id='choice_14_8_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_28' id='label_14_8_28' class='gform-field-label gform-field-label--type-inline'>Rear End<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_29'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.29' type='checkbox'  value='Reflectors'  id='choice_14_8_29'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_29' id='label_14_8_29' class='gform-field-label gform-field-label--type-inline'>Reflectors<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_31'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.31' type='checkbox'  value='Safety Equipment'  id='choice_14_8_31'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_31' id='label_14_8_31' class='gform-field-label gform-field-label--type-inline'>Safety Equipment<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_32'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.32' type='checkbox'  value='Starter'  id='choice_14_8_32'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_32' id='label_14_8_32' class='gform-field-label gform-field-label--type-inline'>Starter<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_33'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.33' type='checkbox'  value='Steering'  id='choice_14_8_33'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_33' id='label_14_8_33' class='gform-field-label gform-field-label--type-inline'>Steering<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_34'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.34' type='checkbox'  value='Suspension System'  id='choice_14_8_34'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_34' id='label_14_8_34' class='gform-field-label gform-field-label--type-inline'>Suspension System<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_35'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.35' type='checkbox'  value='Tire Chains'  id='choice_14_8_35'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_35' id='label_14_8_35' class='gform-field-label gform-field-label--type-inline'>Tire Chains<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_36'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.36' type='checkbox'  value='Tires'  id='choice_14_8_36'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_36' id='label_14_8_36' class='gform-field-label gform-field-label--type-inline'>Tires<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_37'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.37' type='checkbox'  value='Transmission'  id='choice_14_8_37'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_37' id='label_14_8_37' class='gform-field-label gform-field-label--type-inline'>Transmission<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_38'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.38' type='checkbox'  value='Trip Recorder'  id='choice_14_8_38'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_38' id='label_14_8_38' class='gform-field-label gform-field-label--type-inline'>Trip Recorder<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_39'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.39' type='checkbox'  value='Wheels and Rims'  id='choice_14_8_39'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_39' id='label_14_8_39' class='gform-field-label gform-field-label--type-inline'>Wheels and Rims<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_41'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.41' type='checkbox'  value='Windows'  id='choice_14_8_41'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_41' id='label_14_8_41' class='gform-field-label gform-field-label--type-inline'>Windows<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_42'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.42' type='checkbox'  value='Windshield Wipers'  id='choice_14_8_42'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_42' id='label_14_8_42' class='gform-field-label gform-field-label--type-inline'>Windshield Wipers<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_8_43'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.43' type='checkbox'  value='Other'  id='choice_14_8_43'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_8_43' id='label_14_8_43' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_20\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_20'>Trailer(s) #:<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_14_20' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_12\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_3col field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_14_12'><li class='gchoice gchoice_14_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='Brake Connections'  id='choice_14_12_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_1' id='label_14_12_1' class='gform-field-label gform-field-label--type-inline'>Brake Connections<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.2' type='checkbox'  value='Brakes'  id='choice_14_12_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_2' id='label_14_12_2' class='gform-field-label gform-field-label--type-inline'>Brakes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.3' type='checkbox'  value='Coupling Devices'  id='choice_14_12_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_3' id='label_14_12_3' class='gform-field-label gform-field-label--type-inline'>Coupling Devices<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.4' type='checkbox'  value='Coupling (King) Pin'  id='choice_14_12_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_4' id='label_14_12_4' class='gform-field-label gform-field-label--type-inline'>Coupling (King) Pin<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.5' type='checkbox'  value='Doors'  id='choice_14_12_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_5' id='label_14_12_5' class='gform-field-label gform-field-label--type-inline'>Doors<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.6' type='checkbox'  value='Hitch'  id='choice_14_12_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_6' id='label_14_12_6' class='gform-field-label gform-field-label--type-inline'>Hitch<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.7' type='checkbox'  value='Landing Gear'  id='choice_14_12_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_7' id='label_14_12_7' class='gform-field-label gform-field-label--type-inline'>Landing Gear<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.8' type='checkbox'  value='Lights - All'  id='choice_14_12_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_8' id='label_14_12_8' class='gform-field-label gform-field-label--type-inline'>Lights - All<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.9' type='checkbox'  value='Reflectors\/Reflective Tape'  id='choice_14_12_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_9' id='label_14_12_9' class='gform-field-label gform-field-label--type-inline'>Reflectors\/Reflective Tape<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.11' type='checkbox'  value='Roof'  id='choice_14_12_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_11' id='label_14_12_11' class='gform-field-label gform-field-label--type-inline'>Roof<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.12' type='checkbox'  value='Suspension System'  id='choice_14_12_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_12' id='label_14_12_12' class='gform-field-label gform-field-label--type-inline'>Suspension System<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.13' type='checkbox'  value='Tarpaulin'  id='choice_14_12_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_13' id='label_14_12_13' class='gform-field-label gform-field-label--type-inline'>Tarpaulin<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.14' type='checkbox'  value='Tires'  id='choice_14_12_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_14' id='label_14_12_14' class='gform-field-label gform-field-label--type-inline'>Tires<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.15' type='checkbox'  value='Wheels and Rims'  id='choice_14_12_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_15' id='label_14_12_15' class='gform-field-label gform-field-label--type-inline'>Wheels and Rims<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_12_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.16' type='checkbox'  value='Other'  id='choice_14_12_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_12_16' id='label_14_12_16' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_14\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_14'>Remarks:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_14_14' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_14_39\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_39'>Pictures:<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_39' id='input_14_39' type='file' class='large' aria-describedby=\"gfield_upload_rules_14_39\" onchange='javascript:gformValidateFileSize( this, 536870912 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_14_39'>Max. file size: 512 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_14_39'><\/div> <\/div><\/li><li id=\"field_14_28\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_28'>Email for Confirmation Copy:<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_28' id='input_14_28' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_14' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_14' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_14' id='gform_theme_14' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_14' id='gform_style_settings_14' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_14' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='14' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='VZW1dlv7yuzKed6KlL0YyB36\/lsTIAT81e64FyNupVxuV0x9ghprQbyCHQgYrj0gQUjPCV\/D++Hq98c4uXBiHAmJ29umdBkp+Li8mrG2yIGCPa4=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_14' value='WyJbXSIsIjg4ZWIzYWVlMDQxOGUyMDliZDg4NWM0ZTRkNmM4MzU3Il0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_14' id='gform_target_page_number_14' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_14' id='gform_source_page_number_14' value='1' \/>\n            <input type='hidden' name='gform_field_values' 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