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vehicle-insp

VEHICLE INSPECTION DRIVER FULL NAME SIGNATURE EMAIL ADDRESS DATE PHONE NUMBER VEHICLE MAKE VEHICLE MODEL LICENSE PLATE# VEHICLE YEAR VIN# TO...

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VEHICLE INSPECTION DRIVER FULL NAME

SIGNATURE

EMAIL ADDRESS

DATE

PHONE NUMBER

VEHICLE MAKE

VEHICLE MODEL

LICENSE PLATE#

VEHICLE YEAR

VIN#

TO BE COMPLETED BY INSPECTOR: COMPANY

INSPECTION ADDRESS

INSPECTOR NAME

INSPECTOR SIGNATURE

DATE

VEHICLE MILEAGE

INSPECTION POINT

PASS

FAIL

INSPECTION POINT

PASS

Headlights

Foot brakes (pads/shoes thickness)

Tail lights

Min. per manufacture

Turn indicator lights

Right foot

Stop lights

Left foot

Horn

Right rear

Speedometer

Left rear

Air conditioning

Emergency brake (parking brake)

Doors (open, close, lock)

Steering mechanism

Safety belts for driver and passengers

Ball joints

Front seat adjustment

Tie rods

Interior and exterior rear view mirrors

Rack & pinion

Windshield wipers

Bushings

Windshield (no cracks)

Muffler and exhaust system

Rear window and other glass

EXTERIOR

Tires, including tread depth

Dents/cracks over 1 inch

Left front

[ 32nd’s / in ]

Right front

[ 32nd’s / in ]

Left rear

[ 32nd’s / in ]

Right rear

[ 32nd’s / in ]

INTERIOR (unholstry, seats, carpet) Cleanliness Large stains/rips/tears Non-smoker (no cigarrette odor, ashes, burns)

Paint (scrapes/chipping/bubbling)

VEHICLE INSPECTION: Inspector to Circle One

PASS

FAIL

Any markings on the “FAIL” side will automatically fail inspection. Inspection certificate expires one year from inspection date.

FAIL