RXO Trailer Maintenance Request Form

Trailer *

Load /Ref *

Trailer Status *

Driver with Trailer *

Driver Name *

Driver Contact Number *

Form Submitted by *

If other than driver submitting form. Please provide your name and company if applicable.

Contact Phone Number *

Contact Email *

Trailer Location *

Address Line 1

Address Line 2

City

State

Zip Code

Detailed description of issue *

If tire issue - tire size and tire positions

Upload Images

Click or drag files to this area to upload. You can upload up to 10 files.