**Important** Please complete and return this form Questions? Contact Weighing Specialist cell: RVSEF Motorhome Homework Sheet Note: Your weighing report will only be as complete as the information you provide, therefore, please fill in all applicable blocks. It is important that you know where to find the data, but let us know if you need help. Please print clearly. For help us QR code or see https://rvsafety.com/formhelp Contact Information First Name: ___________________________________ Last Name: ___________________________________ Email:__________________________________ Phone: (Cell)______________________ TIRE INFORMATION. PLEASE OBTAIN FROM TIRE SIDEWALL: *Note: If all your tires are not identical, brand, size, or load range, please complete page two of this form! Brand:_______________ Model:__________ Size:__________________ Load Range(LR):_____ Maximum Load Dual ___________________ pounds @ ____________ psi Tire Configuration (Please Check): Rear Axle: Single___ Dual___ Tag (third) Axle: Single___ Dual___ Inflation pressure you set your tires (before driving): Front: ____ psi Rear: ____ psi Tag: _____ psi RVSEF USE ONLY Name:__________________ Record #:_______________ Data Missing?:_________________ Motorhome Weight (w/o Trailer) Driver Passenger _________ Front _________ _________ Rear _________ _________ Tag __________ Motorhome Weight (or with Trailer) Driver Passenger _________ Front _________ _________ Rear _________ _________ Tag __________ Trailer/Towed Weight Driver Passenger _________ Front _________ _________ Rear _________ _________ Tag __________ Motor Home Information Year:_____ Manufacturer:______________________ Model:________________ Length:____ Information found on federal compliance label located near your driver’s door or seat. GVWR: _________ GAWR (Front):_________ GAWR (Rear):_________ GAWR (Tag):_________ For an add'l $40, would like to have the Towed Vehicle weighed (this is not usually necessary but can be done if desired) ** If we are weighing a Towed Vehicle, please complete the applicable information on the bottom of page two of this form. Tire Sidewall Rating: Maximum Load Single ___________________ pounds @ ____________ psi Both Single & Dual ratings needed
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**Important** Please complete and return this form
Questions? Contact Weighing Specialist cell:
RVSEF Motorhome Homework Sheet
Note: Your weighing report will only be as complete as the information you provide, therefore, please
fill in all applicable blocks. It is important that you know where to find the data, but let us know if
you need help. Please print clearly. For help us QR code or see https://rvsafety.com/formhelp
Contact Information
First Name: ___________________________________ Last Name: ___________________________________
TIRE INFORMATION. PLEASE OBTAIN FROM TIRE SIDEWALL: *Note: If all your tires are not identical, brand, size, or load range, please complete page two of this form!