Vehicle Inspection Form

Vehicle Inspection Form

Inspection and Form needs to be completed by Mgmt
Store Number*
Enter TM's 4 digit store # (Office/Support: use 9999)
TM Type:

New Hire TMExisting TM
EE ID (HR Use)
Team Member's LEGAL Name*

TM First NameTM Last Name
Last 4 digits of SSN*
TM's current Position:*
Vehicle Type:*

New Hire TMCurrent TM-Existing Vehicle UpdateCurrent TM-Convert to DrivePost Accident Existing Veh (with or without repairs)New Vehicle-Replace ExistingRental/Loaner Car
Off/Supp Veh Type:*
Rental Company:
Rental Start Date:

MonthDayYear
Date
Rental End Date (expected or estimated):

MonthDayYear
Date
Will TM be using prior vehicle again (after rental returned)?
Rental Car Usage: Current insurance must be maintained, or liability insurance needs to be purchased thru rental company. The rental agreement only needs to be provided IF liability insurance is purchased thru the rental company. If TM is using personal insurance to cover the rental, then their current insurance must be uploaded.
VERIFY all of the following on the auto insurance before uploading:
- TM's name is listed on policy
- Vehicle being inspected is listed on policy
- Valid Effective and Expiration Dates
- Insurance company information and Policy Number clearly shown with all of the above listed information
Please upload scan or picture of current auto insurance*

Cancelof
Please upload scan/pic of current Driver License

Cancelof
Year*
Make*
Model*
VIN*
Enter complete VIN directly from vehicle inspected
Vehicle Color*
License Plate State*
License Plate State*
License Plate #*
Temp/Paper License Plate?*

YesNo
State Registration Expiration

MonthDayYear
Use last day of month of expiration
State Vehicle Registration Expiration (choose Month and Year)*
Accident Date

MonthDayYear
Date
List all damages resulting from Accident
Specify where damages are located
Were any repairs made?

YesNo
List repairs made
Picture(s) of the damaged and/or repaired areas will need to be uploaded below.
1.) Verify TM has been given the most recent Accident Reporting Kit (Updated January 2024 in bottom corner), to be kept in their vehicle.*

Yes, verified
2.) Headlights in good repair?*

YesNo
2a.) Headlights: Comments
3.) High Beams and Low Beams functioning properly?*

YesNo
3a.) Headlights: Comments
4.) Turn Signals: FRONT functioning properly?*

YesNo
4a.) Front Turn Signals: Comments
5.) Turn Signals: BACK functioning properly?*

YesNo
5a.) Back Turn Signals: Comments
6.) Hazard lights Front and Back functioning properly?*

YesNo
6a.) Hazard Lights: Comments
7.) Both taillights functioning properly and in good repair?*

YesNo
7a.) Taillights: Comments
8.) All brake lights functioning properly?*

YesNo
8a.) Brake lights: Comments
9.) Rear view mirror and side mirrors in good repair?*

YesNo
9a.) Mirrors: Comments
10.) Windshield glass in good repair/clean? (Yes‐If clean and no cracks or chips. No‐If has any cracks or chips, enter location and details in comments.)*

YesNo
10a.) Windshield: Comments
10b.) Does windshield damage significantly block driver's clear line of sight?

YesNo
11.) Both windshield wipers functioning properly and in good repair?*

YesNo
11a.) Wipers: Comments
12.) Windshield wiper fluid available and functioning properly?*

YesNo
12a.) Wiper fluid: Comments
13.) Does Horn work properly?*

YesNo
13a.) Horn: Comments
14.) Is vehicle reasonably clean (inside and out)?*

YesNo
14a.) Vehicle Condition: Comments
15.) Does the vehicle have any dents, scratches, broken, missing, or unsecured body parts (on any part of the vehicle)?*

YesNo
15a.) Body Damage Comments
Picture(s) are needed for any missing OR broken body parts/light fixtures. Upload below.
Upload picture(s) of damaged and/or repaired areas of vehicle

Upload no more than 3 picture files here
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Tire Tread Measurements:
Driver Front: (#/32nds)*
Only enter # part of measurement (ie 7, 8, etc)
Passenger Front: (#/32nds)*
Only enter # part of measurement (ie 7, 8, etc)
Driver Rear: (#/32nds)*
Only enter # part of measurement (ie 7, 8, etc)
Passenger Rear: (#/32nds)*
Only enter # part of measurement (ie 7, 8, etc)
Additional Comments (optional):
Submitted by (Mgmt Name)*

Mgmt First NameMgmt Last Name
Mgmt Position:*
Mgmt Signature:*

Clear
Enter your store or DM's MAC Pizza email (for confirmation of form submission)*
mac1234@macpizza.net
Date/Time Submitted*

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty: