Vehicle Check In Sheet
Date and Time
Customer's Name
First Name
Last Name
Customer's Email Address
*
Confirmation Email
example@example.com
Customer's Cell Phone Number
Please enter a valid phone number.
Preferred Method of Contact
Please Select
Email
Phone Call
Text
Vehicle Year
Vehicle Make
Example: GMC, Toyota, Kia, etc.
Vehicle Model
Example: Sierra, Camry, Palisade
Draw on Image
Your responsibility when the vehicle is ready will be:
Please enter a dollar amount for your deductible.
Important Note:
Estimates are based on a visual inspection of the vehicle's damage. Therefore additional damages may be found upon disassembly of the vehicle. More damage means more parts, more repairs and more days in the shop. We cannot guarantee a delivery date until the vehicle is in the reassembly or clean up phase.
Customer's Signature
Office Use
This section to be completed by a Gerber representative during check in.
RO #
Office Use Only
Drivability
Please Select
Location Drop Off
Tow In
Towing Company
Charges
Mileage
Warning Lights
Air Bag
Check Engine
Maintenance Due
TPMS
Other
Fuel Level
Please Select
Full
3/4
1/2
1/4
Empty
Wheel Locks
Please Select
Yes
No
Windows and door locks operational
Please Select
Yes
No
Notes
Gerber Representative's Email
moodyal@gerbercollsion.com
Gerber Collision and Glass Representative Signature
Continue
Continue
Should be Empty: