Title Page
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Document No.
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Vehicle Registration Number
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Conducted on
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Report Completed By
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Location
General Vehicle and Driver Details
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Colour
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Mileage
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Existing Damage
- Chips
- Rust
- Dent
- Scratch
- Extensive Damage
Fuel - If any fuel has been topped up, please provide details of when and the total cost in £.
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Fuel Purchase Date
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Total Fuel Purchased in £?
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The signature below only constitutes an acknowledgement of the above noted condition at the time the vehicle was collected and does not necessarily imply an acceptance of responsibility.
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Driver Signature (Outgoing)
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Date
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Driver Signature (Incoming)
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Date
Vehicle Information/Damage
Vehicle Information
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Vehicle Make
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Vehicle Model
Damages - Specify each damage - where it is located/how much damage/what kind of damage
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Damage 1 Description
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Damage 1
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Damage 2 Description
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Damage 2
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Damage 3 Description
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Damage 3
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Damage 4 Description
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Damage 4
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Damage 5 Description
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Damage 5
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The signature below only constitutes an acknowledgement of the above noted condition at the time the vehicle was collected and does not necessarily imply an acceptance of responsibility.
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Driver 1's Signature
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Driver 2's Signature