Title Page

  • Document No.

  • Vehicle Registration Number

  • Conducted on

  • Report Completed By

  • Location

General Vehicle and Driver Details

  • Colour

  • Mileage

  • Existing Damage

Fuel - If any fuel has been topped up, please provide details of when and the total cost in £.

  • Fuel Purchase Date

  • Total Fuel Purchased in £?

  • 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.

  • Driver Signature (Outgoing)

  • Date

  • Driver Signature (Incoming)

  • Date

Vehicle Information/Damage

Vehicle Information

  • Vehicle Make

  • Vehicle Model

Damages - Specify each damage - where it is located/how much damage/what kind of damage

  • Damage 1 Description

  • Damage 1

  • Damage 2 Description

  • Damage 2

  • Damage 3 Description

  • Damage 3

  • Damage 4 Description

  • Damage 4

  • Damage 5 Description

  • Damage 5

  • 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.

  • Driver 1's Signature

  • Driver 2's Signature

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