Supreme Oil
Supreme Oil
75 South Broadway Suite 400, White Plains NY 10601
Emergency Number
914-893-4800
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Plumbing & Others
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Employee Portal
Application Page
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Menu
Home
Towns We Fuel & Service
Why Choose Supreme Oil & Service Corp.
Terms of Use & Conditions
Privacy Policy
Products
Heating Oil
Diesel & Onsite Delivery
On-Site Fuel Supplier
Services
Automatic Delivery
HVAC & Boiler Services
Plumbing & Others
Resources
Delivery Areas
Contracts & Customer Page
Driver Portal
Employee Portal
Application Page
Contact Us
Careers
My Account
Buy Oil
Accident Report
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1. What type of Accident
*
Truck & Car Accident
Spill & Over Fill
Hurt or Injured
Others
2.How did the accident happen
*
3. Email-Confirm report
*
4. What truck were you using
Truck 1
Truck 3
Truck 4
Truck 6
Truck 19
Truck 27
Van 3500 or Other
5. Could this accident have been preventable? Tell me how
6. File Upload (take a pic or drop receipt in here)
Click or drag files to this area to upload.
You can upload up to 3 files.
7. Employee Name
*
8. Cell Number
9. Signed:
*
Clear Signature
10. Do we need to follow on the Account, Accident or other
Yes
Yes
No-Please put the date next segment
Other
11. When to follow up
12. What needs following up
Submit Form