Information
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Rego number
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Conducted on
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Left Hand Side Damage Free?
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Take photo of damaged area.
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Select Damage Type
- Chip
- Dent
- Dirty
- Droppings
- Scratch
- Scuff mark
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Notes.
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Rear of Vehicle is Damage Free?
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Take photo of damaged area.
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Select Damage Type
- Chip
- Dent
- Dirty
- Droppings
- Scratch
- Scuff mark
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Notes.
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Boot Lid/Tailgate of Vehicle is Damage Free?
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Take photo of damaged area.
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Select Damage Type
- Chip
- Dent
- Dirty
- Droppings
- Scratch
- Scuff mark
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Notes.
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Right Side of Vehicle is Damage Free?
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Take photo of damaged area.
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Select Damage Type
- Chip
- Dent
- Dirty
- Droppings
- Scratch
- Scuff mark
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Notes.
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Front of Vehicle is Damage Free?
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Take photo of damaged area.
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Select Damage Type
- Chip
- Dent
- Dirty
- Droppings
- Scratch
- Scuff mark
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Notes.
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Bonnet of Vehicle is Damage Free?
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Take photo of damaged area.
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Select Damage Type
- Chip
- Dent
- Dirty
- Droppings
- Scratch
- Scuff mark
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Notes.
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Roof of Vehicle is Damage Free?
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Take photo of damaged area.
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Select Damage Type
- Chip
- Dent
- Dirty
- Droppings
- Scratch
- Scuff mark
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Notes.
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I understand that Signed by Vehicle Owner / Person Dropping Vehicle Off