Loopit Vehicle Condition Report

• Inspection Type

  Loan

  Return

• Conducted on

  Date

• Prepared by

• Location
  Address

• Vehicle Details

• Registration Number

• VIN

  Media

Customer Details

• Full Name

• Email Address

• Phone Number

Inspection Type

• Loan or Return

  Loan

  Return

• Drivers License (Front)

  Media

• Drivers License (Back)

  Media

• Drivers License Expiry

  Date

• Has agreement been signed?

  Yes

  No

• Has subscription been activated?

  Yes

  No

• Has payment been received?

  Yes

  No

• Vehicle condition at time of inspection

  Clean

  Dirty

  Wet

• Current odometer (km)

• Current fuel level (%)

Exterior Condition Summary

• Exterior Damage Type

  Select N/A Damage Chip Scuff Scratch Dent Scrape Tear Stain Crack Dirt Rubbish Other

  • N/A
  • Damage
  • Chip
  • Scuff
  • Scratch
  • Dent
  • Scrape
  • Tear
  • Stain
  • Crack
  • Dirt
  • Rubbish
  • Other
Interior Condition Summary

• Interior Damage Type

  Select N/A Damage Chip Scuff Scratch Dent Scrape Tear Stain Crack Dirt Rubbish Other

  • N/A
  • Damage
  • Chip
  • Scuff
  • Scratch
  • Dent
  • Scrape
  • Tear
  • Stain
  • Crack
  • Dirt
  • Rubbish
  • Other

• General comments

• Was customer present at the time of inspection?

  Yes

  No

• I, the undersigned, acknowledge that:<br><br>1. All information is accurate and that an actual inspection was conducted.<br>2. I have inspected the vehicle and agree that its condition is correctly described on this report and that this forms part of the Subscription Agreement.<br>3. I agree to abide by the terms and conditions of the Subscription Agreement.<br>4. Smoking is prohibited in this vehicle and that penalties apply for smoking. <br>

  Yes

  No

• Customer Signature

  Sign

• Date

  Date

• Inspector Signature

  Sign

• Date

  Date