Information
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Document No.
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Conducted on
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Prepared by
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Location
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Select date
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Take a picture of the vehicle being
VEHICLE DESCRIPTION
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Drivers Name
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Vehicle Make
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Vehicle Model
- Focus
- Fusion
- Expedition
- Colorado
- F-150
- Ram 2500
- F-450
EXTERIOR LIGTING (Take photo's of any damage)
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The high and low beams are operational.
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The left and right front turn signals are operational.
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The left and right tail lights are operational.
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The left and right rear turn signals are operational.
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The left and right break lights are operational.
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The left and right back-up lights are operational.
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The front and back license plate lights are operational.
EXTERIOR BODY AND GLASS (Take photo's of any noted damage)
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The windshield is free of cracks and chips.
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The front hood, grill and bumper are free of damage.
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The left side free of damage.
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The rear window is free of cracks and chips.
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The rear of the vehicle and bumper are free of damage.
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The right side is free of damage.
TIRES
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The front driver tire is in a good condition with no visible signs of damage.
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The rear driver tire is in a good condition with no visible signs of damage.
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The rear passenger tire is in a good condition with no visible signs of damage.
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The front passenger tire is in a good condition with no visible signs of damage.
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The inside dual tires are in good condition.
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The spare tire is in a good condition with no visible signs of damage.
INTERIOR
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The interior is clean and free of loose objects.
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The interior is in good condition. No smoke smell or burns in seats or ceiling of interior.
REQUIRED DOCUMENTATION
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The vehicle is serviced according to the manufacturers schedule.
SIGNATURES
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Signature of inspector
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Signature of driver / responsible person
SUMMARY
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Vehicle Mileage
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Vehicle Destination
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Final comments / conclusion
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Negative responses
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Positive responses
