Vehicle Change Form
Vehicle Addition
County Name
Year
Make
Model
VIN
If Truck – Gross Vehicle Weight
Vehicle Classification (see below)
Department
Department Unit Number
Base Value
Emblems
Lights/Sirens
Radio Equipment
Video Equipment
Other Additional Equipment
Total Vehicle Value
Vehicle Deletion
County Name
Year
Make
Model
VIN
Reason for deletion
Vehicle Change - Used only to change information on a vehicle already on the schedule
County Name
Year
Make
Model
VIN
Change requested
Additional Comments: To submit this form, choose one of the following methods only
(to prevent duplicate claims):
1. Print and Fax to 785-267-2383
2. Print and mail to: KCAMP, 5425 SW 7th St., Topeka, KS 66606
Print Form
Vehicle Change Form
Commercial Automobile Classification Guidelines
Sheriff Department Vehicles
1.
2.
PC – those vehicles equipped with emergency equipment (lights, sirens, etc.)
Other vehicles – classify according to General Classifications.
Fire Department Vehicles
1.
2.
FT – those vehicles used for fire fighting purposes, or equipped with
emergency equipment (lights, sirens, etc.)
Other vehicles – classify according to General Classifications
General Classifications
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
PU – vehicles of the pick-up type.
LT - Trucks (not dump trucks) with manufacturer published gross vehicle
weight of 10,000 pounds or less.
MT – Trucks (not dump trucks) with manufacturer published gross vehicle
weight of 10,001 pounds to 20,000 pounds.
HT - Trucks (not dump trucks) with manufacturer published gross vehicle
weight of 20,001 pounds to 45,000 pounds.
XHT - Trucks (not dump trucks) with manufacturer published gross vehicle
weight over 45,000 pounds.
TT – Truck-tractor (vehicle with a fifth wheel coupling device for semitrailers) with published manufacturer gross vehicle weight of 45,000 pounds
or less.
XHTT – Truck-tractor (vehicle with a fifth wheel coupling device for semitrailers) with published manufacturer gross vehicle weight greater than 45,000
pounds.
MD – Dump truck with a manufacturer gross vehicle weight of 20,000 pounds
or less.
HD – Dump truck with a manufacturer gross vehicle weight of 20,001 to
45,000 pounds.
XHD – Dump truck with a manufacturer gross vehicle weight of more than
45,000 pounds.
TR – any trailer or semi-trailer.
AMB – any vehicle used to carry patients or used as an emergency responding
vehicle.
BUS – any vehicle used to carry passengers.
VAN – any vehicle of the cargo van type that is not a PC, FT, AMB or BUS.
PPT – any vehicle of the private passenger type that is not a PC, FT, AMB or
BUS.