PBBT Jurisdictions' Data Submission FormHomePBBT Jurisdictions' Data Submission FormCompanyJurisdiction *Select your jurisdictionColoradoFloridaGeorgiaIndianaIowaKansasMaineMassachusettsMinnesotaMichiganMontanaNebraskaNew JerseyNew YorkNorth DakotaOklahomaSouth DakotaUtahWisconsinWyomingBadge/Inspector Number *Inspection Report NumberSelect the type of PBBT machine * (required)FixedPortableIs the vehicle loaded? * (required)YesNoDid the vehicle pass or fail the overall 43.5% braking efficiency test? * (required)PassFailDid any of the wheel ends fail the 43.5% braking efficiency test? * (required)YesNoSubmit