Hackney would be pleased to custom design a rescue or other type emergency vehicle to serve specific mission requirements. Simply complete and submit the following Questionnaire and our engineering staff will custom design your truck with no obligation.

Name

Title

Agency

Address

City

State

Zip

Phone (Day)

Phone (alternate)

Fax

E-mail



Select maximum budget for this project:
(required to verify whether selected apparatus can be manufactured within the budget range or not)
Proposal required for following reason:



 Information needed not later than:
(specify in box below)

Is there an overall height restriction?
If so, specify in box below

Is there an overall length restriction?
If so, specify in box below

Is there a model shown in our Product orDelivery section that is similar to what is required? If so, specify in space below.
If so, specify in box below

Preferred Chassis:



If OTHER selected above, specify in box below:

Chassis Requirements:

Check applicable boxes

Two-Door Cab 4x4
Two-Door Extended Cab Alloy Wheels
Four-Door Cab SCBA Seating (rear only)

Other specific chassis requirements:
(list in box below)



Select desired options: This is not an exhaustive list.
Check applicable boxes

Options

Qty

Options

Qty

Winch - bumper mounted

 Command or Rehab Room
Winch - portable Winch Reciever - Front
Winch Reciever - left and right side Light Tower
Winch Reciever - Rear Slide-out Tool Board
Trailer Hitch Integral Tool Storage Drawers
Roof Storage Compartments
Turtle-Tile Compartment Floors
Awning - Manual Deploy Awning - Electric Deploy
Repaint Cab Two-tone Cab
Two-tone Body Portable Generator
LED Compartment Lights Diesel fixed Generator
Halogen Compartment Lights PTO Generator Chevy 5500 ONLY
LED Emergency Lighting Package Tri-pod Removable Flood Lights
Strobe Emergency Lighting Package Fixed Telescoping Flood Lights
Halogen Emergency Lighting Package Upper side body Flood Lights
Q2B Siren Light Tower
Electronic Siren Cord Reel
Traffic Director Light Bar Power Outlets
Utility Air - 120V compressor Hydraulic Tool Reel
Utility Air Hose Reel
Hydraulic Tool Power Unit - single
Utility Air Outlet
Hydraulic Tool Power Unit - Simo
Air Cascade Fill Station Refrigerator
Eye Wash/Decon Station


Other Requirements Or Comments:




Equipment to be accommodated: This is not an exhaustive list.
Check applicable boxes

Options

Qty

Options

Qty

Folding Ladder
Traffic Cones
14-ft Roof Ladder
Salvage Covers
24-ft Extension Ladder
Confined Space Tripod
35-ft Extension Ladder
Portable O2 Tanks
Pike Poles
Rope Bags
Stokes Basket Stretcher
Shovels - spade
Long Back Boards
Shovels - scoop
Folding Stretcher
Exhaust Fan
Air Bags - low pressure
Chain Saw
Air Bags - high pressure
Portable Cutting Torch
Air Shores
Cribbing - up to 24"
SCBA Packs
Spare SCBA Bottles
Hydraulic Spreader
Shoring Timbers - 2x6x12
Hydraulic Cutter
Shoring Timbers - 6x6x12
Hydraulic Rams
Shoring Panels - 4x8
Portable Hydraulic Power Unit
Portable Flood Light
Haz-mat Suit - Level A
Decon Shower
Haz-mat Suit - Level B
Inflatable Tent
Haz-mat Suit Disposable
Stanley Power Unit
55-gallon Salvage Drum
Stanley Breakers
95-gallon Salvage Drum
Medical Kits
Chlorine Kits
Monitoring Devices


Other Equipment Storage Requirements Or Comments: