Fillable Printable Vehicle Condition Report Sample Form

Vehicle Condition Report Sample Form

Action Auto Recovery - RA-641 "Vehicle Condition Report" (800) 421-5528

Client: Case ID Number: Recovery Date & Time:

Customer:

Legal Owner: Police Dept:

Year: Color: Account #:

Make:

Model: Recovered From: DR# / Officer Name:

VIN:

Plate: EX: Mileage:

F= Fade / P= Poor / C= Chip / S= Scratch W= Worn / T= Torn / D= Dirty / BR= Burn

R= Rust / D= Ding / B= Broken / DD= Dent B= Broken / S= Stained / C= Cracked

EXTERIOR OK OTHER NONE INTERIOR OK OTHER NONE EQUIPMENT

Top Head Liner Automatic Trans

Windshield Inst Panel Standard Trans

Hood Dash Board Air Conditioning

Grill Center Mirror Power Steering

Lights Front Carpet Power Windows

Front Bumper Front Mats Power Locks

Splash Pan L.F. Seat Power Seats

R.F. Fender L.F. Door Panel Power Brakes

R.F. Wheel Center Console Cruise Control

R.F. Tire R.F. Seat Tilt Wheel

Wheel Cover R.F. Door Panel Sun / Moon Roof

R.F. Mirror Rear Seat Alarm / Security

R.F. Door Rear Panels AM / FM Radio

R.F. Glass Rear Carpet Cassette

R.R. Glass Rear Mats 1 CD: or Changer:

R.R. Door 3rd Row Seat # Of DVD / TV Screens:

R.R. Fender After Market Sound System

R.R. Wheel

MECHANICAL OK OTHER ??? After Market Amp

R.R. Tire Engine After Market Speakers

Wheel Cover Transmission Navigation System

Rear Glass Clutch Camper Shell

Trunk Lid Brakes Tano Bed Cover

Rear Door Front End Construction Rack

Truck Bed Rear End Tool Box

Bed Liner Battery Custom Wheels

Tail Gate

Rear Bumper

Vehicle Runs and Drives:

Keys:

Spare Wheel Major Collision Damage: Personal Effects:

Spare Tire

Additional Comments:

Tow Hitch

Tail Lights

L.R. Fender

L.R. Wheel

L.R. Tire

Condition Report Completed By:

Wheel Cover

L.R. Door Vehicle Storage

L.R. Glass Location:

L.F. Glass

Normal wear and tear and mechanical breakdowns to vehicle while in the possession of

L.F. Door the repossession agency, is NOT the responsibility of the repossession agency.