Loan Form

• Prepared by

  Ben

  Josh

  Dragos

  Rob

• Vehicle

  Select

• Name:

• Address:

• Tel Number:

• Driving Licence Copy:

  Media

• Vehicle Sent Out

  Date

• Date of Return (please write when returned)

• Condition Customer Vechile

  Media

TERMS AND CONDITION OF LOAN

• I accept that the Hirer has hired the above mentioned vehicle to me, and I am bound by the terms and conditions of this agreement.

  Yes

  No

• 2. I accept that I will be the sole driver of the vehicle during the period of the hire and that it will only be used for purposes covered by my insurance.

  Yes

  No

• 3.I accept that the Hirer shall not be liable for any loss or damage to property carried in or on the vehicle during the hire and I am responsible for the safe care and use of the vehicle during the hire period.

  Yes

  No

• 3. The vehicle will only be driven by the customer or a driver authorized by RW Cars. All drivers must have a full valid UK driving license

• 4.I will be responsible for all penalties and charges of any nature which arise as a result of breach of statute regulations or any civil law in connection with or in relation to the use and operation of the vehicle whilst it is in my custody and control

• 5. Whenever the vehicle is left unattended the ignition keys or card should be removed, the doors locked and any security system activated

• 6. I am aware that in the event of an accident/damage will be an £500 insurance excess payable to RW CARS Ltd

  Yes

  No

• We can offer you Collision damage waiver which will reduce the excess from £500 to £250 this is available for a one of additional charge of £20.

  Yes

  No

• In the Event of an Accident 1. Do not make any admission of liability nor give money to any injured person. 2. Obtain the name and address of any other driver and registration mark of any other vehicle involved. 3. Obtain Insurance Certificate details from any driver you hold responsible for causing the accident and give such details to anyone that similarly holds you responsible. (You are compelled to provide such information by the Road Traffic Act 1988). 4. Obtain the names and addresses of any witnesses. 5. Record the position in the road of your vehicle and any other vehicle involved. 6. Inform RW Cars as soon as reasonably possible on 01332 410010

• Customer Signature:

  Sign

• Date:

  Date