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Change Request Form Please return to: rskannal@massup.orgCounty: ___AUTO CHANGE ADD, DELETE, CHANGE?YEARMAKEMODELVINDEPARTMENT / TYPECAST NEWDEPARTMENTCOST EQUIPMENT CHANGE ADD, DELETE, CHANGE?YEARMAKEMODELVIN

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How to fill out how to replace an

01

Identify the item that needs to be replaced

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Disconnect any power sources or turn off power to the item

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