Vehicle Status Please enable JavaScript in your browser to complete this form.Name *FirstLastVehicle Mileage *Vehicle Reg *Date of CompletionWhat type of Vehicle do you Drive *ElectricPetrol or DiesalHybridFluid LevelsPlease confirm whether the following fluid levels are within the manufacturer's specifications. For further information regarding these levels, please consult the vehicle handbook.Fuel levelLess than 1/4 TankBetween 1/4 - 1/2 TankBetween 1/2 to 3/4Between 3/4 to FullTo the nearest QuarterEngine Oil LevelYesNoBrake Fluid LevelYesNoRadiator Fluid LevelYesNoBattery Water LevelYesNoCurrent Battery % Windscreen Washer Fluid LevelYesNoLightsPlease confirm the following lights are in good working condition.Headlights (High Beam)YesNoHeadlights (Low Beam)YesNoNumber PlateYesNoReversing LightsYesNoCabin Interior LightsYesNoBrake LightsYesNoHazard Warning LightsYesNoIndicator Lights *YesNoDriver AdjustmentsPlease confirm that the following adjustments are able to be made.Driver's SeatYesNoRear View MirrorYesNoWing MirrorsYesNoPedalsPlease confirm the following:Foot brake is able to hold and stop the vehicle smoothlyYesNoParking brake is able to hold the vehicle when parkedYesNoClutch and gears shift smoothly and without jerkingYesNoTyresPlease confirm the following:Tyres are inflated, have adequate tread and are free of excessive wear or damageYesNoWheel nuts are all present and securely fastenedYesNoTyres have adequate treadYesNoSpare tyre is inflated and free of cracksYesNoHave the tyre pressures been checked in the last two weeks?YesNoOther checksPlease confirm the following:Seat belts are working and free of damageYesNoMirrors are clean and free of damageYesNoDoors and locks operate correctlyYesNoDashboard or Screen control panel is fully operational (warning lamps and screens)YesNoSteering Wheel moves smoothlyYesNoHorn is loud and clearYesNoHydraulic systems are operating smoothly and without leaksYesNoAll loads (if any) are securedYesNoFirst aid kit is present and fully-stockedYesNoAre all Items in date?YesNoUnsureAre all items in Date?Is the bodywork (including tyres) in a good condition i.e. Dint / Scratch free *YesNoIs your car running the latest Software Version?YesNoUnsureIs your home charge point free from obstructions and working as expectedYesNoIf you have answered "No" to any questions on this checklist, please give details below:Please Provide any photos where damage is present:This includes both bodywork, tyres and interior of vanRear of vehicle Click or drag files to this area to upload. You can upload up to 2 files. Left-hand side of vehicle Click or drag a file to this area to upload. Right-hand side of vehicle Click or drag a file to this area to upload. Front of vehicle Click or drag a file to this area to upload. Cabin Interior Click or drag a file to this area to upload. Home Charger Port Click or drag a file to this area to upload. EmailSubmit Form
