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My Fault Car Accident Hire & Insurance
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Rental Checklist
Rental Type
IN
OUT
Rego Plate
(Required)
Delivery Date
(Required)
DD slash MM slash YYYY
Return Date
(Required)
DD slash MM slash YYYY
Make
Model
Current KMs
Service KMs
Customer Details
Client Name
(Required)
Carbiz Representative
(Required)
Address
Contact Number
Email
Car Inspections
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Max. file size: 32 MB.
Checklist
Light
Brake / Reverse Lights in working order?
YES
NO
Brake / Reverse Lights Comment
Headlights in working order?
YES
NO
Headlights Comment
Turn Signals in working order?
YES
NO
Turn Signals Comment
Wipers / Washers in working order?
YES
NO
Wipers / Washers Comment
Electrical
Power Point in working order?
YES
NO
Power Point Comment
Cig Lighter in working order?
YES
NO
Cig Lighter Comment
A/C in working order?
YES
NO
A/C Comment
Horn in working order?
YES
NO
Horn Comment
Windows Operation in working order?
YES
NO
Windows Operation Comment
Electric Mirrors in working order?
YES
NO
Electric Mirrors Comment
Hood
Oil Level in working order?
YES
NO
Oil Level Comment
Washer Fluid in working order?
YES
NO
Washer Fluid Comment
Battery in working order?
YES
NO
Battery Comment
Exterior
Dents & Scratches in working order?
YES
NO
Dents & Scratches Comment
Tyres in working order?
YES
NO
Tyres Comment
Wipers / Washers in working order?
YES
NO
Wipers / Washers Comment
Boot
Spare Tyre in working order?
YES
NO
Spare Tyre Comment
Jack & Tools in working order?
YES
NO
Jack & Tools Comment
Boot Cover in working order?
YES
NO
Boot Cover Comment
Interior
Rear View Mirror in working order?
YES
NO
Rear View Mirror Comment
Floor Mat in working order?
YES
NO
Floor Mat Comment
Knobs & Handles in working order?
YES
NO
Knobs & Handles Comment
Seat Tears / Damage in working order?
YES
NO
Seat Tears / Damage Comment
Fuel
Fuel Filled Capacity
Empty
1/4
Half
3/4
Full
Signature
Signature
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