CT Vehicle Condition Report (VCR)

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Vehicle Number

• Vehicle Make/Model

• Vehicle Year

• Mileage

• Registration Expiration

• Inspection Expiration

• Federal Inspection Expiration

• IFTA Expiration

• Front Tires

  Pass

  Fail

  N/A

• Rear Tires (If more than one set check all)

  Pass

  Fail

  N/A

• Head Lights Low

  Pass

  Fail

  N/A

• Head Lights High

  Pass

  Fail

  N/A

• Tail Lights

  Pass

  Fail

  N/A

• Brake Lights

  Pass

  Fail

  N/A

• Reverse Lights

  Pass

  Fail

  N/A

• Audible Reverse Alarm

  Pass

  Fail

  N/A

• License Plate Light

  Pass

  Fail

  N/A

• Mirrors

  Pass

  Fail

  N/A

• Windshield Wipers

  Pass

  Fail

  N/A

• Windshield Washer Fluid

  Pass

  Fail

  N/A

• Front Bumper

  Pass

  Fail

  N/A

• Rear Bumper

  Pass

  Fail

  N/A

• Pass

  Fail

  N/A

• Dash Lights

  Pass

  Fail

  N/A

• Dome Light

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Seatbelts

  Pass

  Fail

  N/A

• Heater

  Pass

  Fail

  N/A

• Warning Triangles/Flares

  Yes

  No

  N/A

• Wheel Chocks

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• First Aid Kit

  Yes

  No

  N/A

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