Vehicle Check OUT Form
(To be used when a member of staff takes a company vehicle)
Full Name:
*
Name of the person filling in this form
Full Name:
Name of S2S Staff acquiring the vehicle
Date:
*
/
Day
/
Month
Year
Date of Delivery
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
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27
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29
30
31
32
33
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35
36
37
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39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Registration Number:
*
Mileage:
*
Please Also Take a Picture (Below)
Upload Picture of Mileage:
*
Browse Files
Upload a picture from your photo album
Cancel
of
Fuel Level:
Please enter if vehicle is Full/Half Full etc.
Upload a Picture of the FUEL Gauge:
Browse Files
Upload a picture from your photo album
Cancel
of
Delivery Address:
Address that the Vehicle was dropped off
Number of Keys
One
Two
Three
Four
Please Answer ALL the following questions:
*
YES
NO
Needs Attention
N/A
Accident Sticker
NO Smoking Sticker
Service Due
Cleanliness
Windscreen Condition
Seatbelt Condition
Dashboard Lights
Headlights
Full Beam
Main Beam
Side Lights/DRL
Rear Lights
Brake Lights
Screen Wash Level
Coolant Level
Power Steering Fluid Level
Brake Fluid Level
Add Blue Level
Beacon
Fire Extinguisher
Tyre Pressure/Depth Check
*
Good
Replace
Attention Needed
N/A
Front Left Tyre
Front Right Tyre
Rear Left Tyre
Rear Right Tyre
Spare Wheel
Vehicle Condition
*
Good
Some Damage
N/A
Front
Driver Side
Passenger Side
Rear/Backend
Front Damages:
Browse Files
Any number of Pictures for any damage found
Cancel
of
Driver Side Damages:
Browse Files
Any number of Pictures for any damage found
Cancel
of
Passenger Side Damages:
Browse Files
Any number of Pictures for any damage found
Cancel
of
Rear/Backend Damages:
Browse Files
Any number of Pictures for any damage found
Cancel
of
Signature of S2S Staff:
*
Signature of S2S Staff Filling in this form:
*
Damages
If there are any damages to the vehicle on allocation please take photos (This shows you are not responsible for any pre-existing damage). If there are no damages just click Submit. This confirms that you are happy to take on the vehicle in it's present condition.
Submit
Should be Empty: