Fieldman Inc.

Employees opt in to Fieldman text alerts by signing this form. Signed forms are kept on file by Fieldman Inc. and the employer. Download the printable PDF.

Fieldman Alerts — SMS Consent Form

Fieldman Inc. · 1383 West 1000 South, Vernal, UT 84078 · pjoliver11@gmail.com · (360) 989-4612

Fieldman Inc. provides the Fieldman software used by your employer. With your consent, Fieldman sends you maintenance alert text messages — for example, when a vehicle or piece of equipment is reported for maintenance — so you can schedule the work. These texts are operational, never promotional.

Employee name
Employer (company)
Mobile phone number

By signing, I understand that:

Signature
Date
Entered in Fieldman by
Date entered

Form version October 29, 2026.