Form
Your Details
Name
*
First Name
Last Name
Email
*
bcxxx@bc4x4r.org
Phone Number
*
Please enter a valid phone number.
Format: 00000000000.
Date
*
-
Day
-
Month
Year
Date
Movement Details
What Trailer?
*
Please Select
SU01
SU02
SU03
SU04
ICU
Collection Location
Time
Hour Minutes
AM
PM
AM/PM Option
Drop off Location
Time
Hour Minutes
AM
PM
AM/PM Option
Tow Vehicle Details
Vehicle Reg
*
Vehicle Make/Model
*
Image of Tow Bar on Vehicle
Pre-Movement Checks
Vehicle Checks
Rows
Yes
No
N/A
Lights Working
Number plate matching tow vehicle
Tyres in good condition (incl. spare)?
Jockey wheel secure?
Breakaway cable connected & undamaged?
Load secure and doors/ramps locked?
No visible damage before movement?
Photos before Movement
Front View
Driver’s Side View
Rear View
Passenger Side View
Interior View (if applicable)
Additional things to note.
Damage or issues found on trailer or equipment on trailer?
Fuel remaining on Generator
*
Please Select
25%
50%
75%
100%
Type a question
I confirm I am legally responsible for this trailer movement and that Beds & Cambs 4x4 Response (BC4X4R) accept no liability for incidents arising from this journey. I have carried out the above checks to the best of my ability.
I understand that I am responsible for all legal aspects of this movement. BC4X4R will not be held responsible for any issues regarding this trailer
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