At-Home Vehicle Inspection Checklist
Use this form to complete a self-inspection of your vehicle and report its condition.
Owner's Full Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Vehicle Information
Provide details about the vehicle being inspected.
Vehicle Make
*
Vehicle Model
*
Vehicle Year
*
Vehicle Identification Number (VIN)
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Exterior Condition
*
Excellent
Good
Fair
Needs Attention
Other
Tires Condition
*
Excellent
Good
Fair
Needs Replacement
Other
Lights & Signals Functionality
*
All Working
Some Not Working
None Working
Other
Brakes Condition
*
Excellent
Good
Fair
Needs Service
Other
Fluid Levels (Oil, Coolant, etc.)
*
All Full/Normal
Some Low
Needs Top-Up
Other
Interior Condition
*
Excellent
Good
Fair
Needs Cleaning/Repair
Other
Upload Photos of Vehicle (Exterior, Interior, Any Issues)
Upload a File
Drag and drop files here
Choose a file
Cancel
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Additional Comments or Notes
Inspector's Signature (Confirming the above information is accurate to the best of your knowledge)
*
Submit Inspection
Submit Inspection
Should be Empty: