Vehicle registration Number
*
Please Select
RE63 LWP
RE63 LWO
OE63 SMO
OE63 SMU
OE63 SMX
OE63 SLZ
OE63 SOA
OE63 SOC
OE63 SNF
OE63 SMV
OU14 LBA
OU14 LAO
OU14 LBG
OU14 LBJ
OU14 LBL
OE63 SKD
OE63 SKF
OU14 LBK
OU14 LBE
OU14 LAE
OU14 LBN
OU14 LBF
BX14 TVA
BX14 TVC
BX14 TVE
BX14 TVF
BX14 TVJ
BX14 TVL
BX14 TVO
BX14 TVM
BX14 TVN
BX14 TVK
FJ64OXG
FJ64OXL
FJ64 OXE
FJ64 OVX
FJ64 OVY
FJ64 OXD
FJ64OWH
FJ64OWV
FJ64OWY
FJ64OWK
FJ64OWX
FJ64OWZ
FJ64OXF
FJ64OWM
FJ64OXK
Pickup or Drop off?
*
Picking up Car
Dropping off car
Statut
Driver Name
*
Driver No
*
PCO Renewal Date
*
-
Month
-
Day
Year
Date Picker Icon
Charge Level (%)
*
Odometer Reading
*
Charge Cards
Yes - present
No - not present
Source London
Ecotricity
Polar
Genie
Callisto
Vehicle Tools
Yes - present
No - not present
Car handbook
Wrench to change tyre
Spare wheel
Charging Cable
Lights and Wipers
Working / Good
Not Working / Bad
Headlights
Back lights
Indicators
Windscreen wipers
Other Mechanical Issues (please describe)
Is car clean
*
Yes clean
No dirty
Other
EXTERIOR physical condition
*
No damage
Yes, damaged
Where is damage?
Front bumper
Driver Front Wing
Driver Front Door
Driver Rear Door
Driver Rear Wing
Rear Bumper
Rear Passenger Wing
Rear Passenger Door
Front Passenger Door
Front Passenger Wing
Other
EXTERIOR Damage description, if yes ALL DAMAGE MUST BE DESCRIBED
Photo exterior damage 1
Photo exterior damage 2
Photo exterior damage 3
Photo exterior damage 4
Photo exterior damage 5
Photo exterior damage 6
INTERIOR physical condition
*
No damaged
Yes, damaged
Interior Damage description, if yes
Photo interior damage 1
Photo interior damage 2
Photo interior damage 3
Tyre Measurements (mm)
Front driver tyre (mm)
*
Front passenger tyre (mm)
*
Rear driver tyre (mm)
*
Rear Passenger tyre (mm)
*
Signed Driver
*
Signed Manager
*
Manager Name
Fit to be released
yes
no
Other
Option 1
Option 2
Option 3
Submit
Should be Empty: