Vehicle Inspection - (Demo - GPSisUS)

Complete the following info and submit.

Drivers Name Drivers Name * First Last
Van Number, (last 4 of VIN) # *
Must be 4 digits. Currently Entered: 0 digits.
Registration Sticker date Registration Sticker date * / MM / DD YYYY
Is a copy of registration in the van? *

Is a copy of registration in the van? Yes No
Expiration Date
(Registration) Expiration Date
(Registration) * / MM / DD YYYY
Driver's Kit? *

Driver's Kit? On hand Missing
Oil change mileage due?
Is a copy of insurance in the van? *

Is a copy of insurance in the van? Yes No
Expiration Date
(Insurance) Expiration Date
(Insurance) * / MM / DD YYYY
Odometer Reading *
Is There Vehicle Damage *

Is There Vehicle Damage Yes No
Location(s) of damage
Check ALL that Apply *

Location(s) of damage
Check ALL that Apply Front Rear Top O/S N/S
Attach Picture(s) of Vehicle Damage
(Up to 5 Pictures)

Attach Files
Describe Damage: *
Exterior clean? *

Exterior clean? Yes No
Cab interior clean? *

Cab interior clean? Yes No
Cargo area clean/organized? *

Cargo area clean/organized? Yes No
Lights *

Lights Working Not Working
Windshield Wipers *

Windshield Wipers Good Fair Poor
Ladder rack / Shelving *

Ladder rack / Shelving Good Fair Poor N/A
Radio / CD *

Radio / CD Working Not Working
Are any of the tires in Bad Condition? *

Are any of the tires in Bad Condition? Yes No
Tires (Check ALL tires in bad condition) *

Tires (Check ALL tires in bad condition) F/R F/L R/R R/L
Coolant Level *

Coolant Level Good Low
Windshield Washer Fluid Level *

Windshield Washer Fluid Level Good Low
Engine Oil Level *

Engine Oil Level Good Low
Transmission Fluid Level *

Transmission Fluid Level Good Low
Brake Fluid Level *

Brake Fluid Level Good Low
Was the tire pressure checked? *

Was the tire pressure checked? Yes No
Tire Pressure(s) Checked
Select ALL that apply *

Tire Pressure(s) Checked
Select ALL that apply F/R F/L R/R R/L
F/R PSI *
F/L PSI *
R/R PSI *
R/L PSI *
Jack & Tools (Check one) *

Jack & Tools (Check one) On hand Missing
Seat Belt Condition
(Check One) *

Seat Belt Condition
(Check One) Good Fair Poor
Seat Belt Operation *

Seat Belt Operation Working Not Working
Turn signals *

Turn signals Working Not Working
Fire Extinguisher *

Fire Extinguisher On hand Missing
Spare Tire *

Spare Tire On hand Missing
First Aid Kit *

First Aid Kit On hand Missing
Vehicle Wrap Condition *

Vehicle Wrap Condition Good Fair Poor
Employee Signature *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.