Job Card

• Date

  Date

• Job Number

• Owners Request/3rd Party Request

• Time of Call:

  Date

• Time of Arrival:

  Date

• Breakdown Provider?

• Breakdown Location?
  Address

Customer Details:

• Customer Name:

• Telephone Number:

Vehicle Details:

• Make:

• Model:

• Reg No.:

• Mileage:

• Fuel:

  Petrol

  Diesel

  EV

  Hybrid

• Transmission:

  Manual

  Automatic

Fault Reported:

• Reason for call out:

• Fault Found:

• Action Taken:

Notes

• Other Comments

Declaration:

• I accept and understand that accidental damage maybe caused to the above vehicle during the repair process and that Agnew Recovery Services will take all reasonable steps to prevent this from happening.

• I declare that I have authority to give Agnew Recovery Services permission to gain entry/access to the above vehicle.

• I fully accept that I will not claim now or in future for any damages and costs that I may incur for the repair of the above vehicle.

• Agnew Recovery Services will not accept liability for any damage caused during the repair process.

By signing below you agree to the above statements.

Sign

• Customer (Full Name and Signature)

  Sign

• Time Complete:

  Date

Job Cost

• £