Vehicle Check-Out/Check-In

Vehicle Check-Out/Check-In
Check-Out or Check-In?*
Driver Name*

First NameLast Name
Date*

MonthDayYear
Date
This vehicle is to be used for:*
Reason for Use:*
Vehicle Number*
Current Mileage*
Front of Vehicle (Exterior)*

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Driver Side of Vehicle (Exterior)*

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Rear of Vehicle (Exterior)*

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Passenger Side of Vehicle (Exterior)*

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Front Driver Side (Interior)*

Cancelof
Rear Driver Side (Interior)

Cancelof
Front Passenger Side (Interior)*

Cancelof
Rear Passenger Side (Interior)

Cancelof
I understand and agree that I will inspect the vehicle for any pre-existing damages and note the discrepancies below. I am responsible for the upkeep of the vehicle which includes: weekly vacuum; washing; wax every 6 to 8 weeks (acceptable at drive thru wash); regular oil and filter changes (or notify management when necessary); changing of tires (or notify management when necessary). I further understand that this vehicle will be used for business only and not for personal use. All GMF owned vehicles are subject to random inspections.

DISCLAIMER: All accidents or damage is to be reported immediately to the GMF Safety Director, (863) 316-0858 and via an incident report jotform. If other persons and/or companies are affected, then a police report is required to be filed.
Please provide any discrepancies not pictured (mechanical, electronics, toolboxes, etc.)
Signature*

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Witness Name*

First NameLast Name
Witness Signature*

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Should be Empty: