Centurion Power Vehicle Check In/Check Out
Checking In or Checking Out
Checking In
Checking Out
Date of Check In/Check Out
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Last 4 of VIN
*
Staff Member
First Name
Last Name
Picture of Mileage
Head Lights
Safe
At Risk
N/A
Tail Lights
Safe
At Risk
N/A
Turn Signals
Safe
At Risk
N/A
Horn
Safe
At Risk
N/A
Tires
Safe
At Risk
N/A
Windshield
Safe
At Risk
N/A
Mirrors Fold In/Out
Yes
No
Mirror Glass
Safe
At Risk
N/A
Photograph Vehicle (Front of Vehicle)
Photograph Vehicle (Back of Vehicle)
Photograph Vehicle (Left Side)
Photograph Vehicle (Right Side)
Name of Signee
First Name
Last Name
Signature
Submit
Should be Empty: