Date
-
Month
-
Day
Year
Date Picker Icon
Officer
Vehicle #
Mileage
Headlamps
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Taillights
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Brake Lights
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Air Bag Lights
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Turn Signals
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Dash Instruments
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Inside Dome Light
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Brakes
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Horn
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Exhaust System
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Mirrors
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Wipers
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Power Windows
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Power Door Locks
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Overhead Light Bar
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Inside Emergency Light
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Spot Lamp
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Headlight Winks
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Brake/Backup Winks
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Front/Corner Strobes
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Arrow Stick
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Siren
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Writing Lamp
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
3 Hole Outlet
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Control Boxes
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Computer
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Shotgun Rack (if installed)
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Alley Lights
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Video Camera
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Microphone Box
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
In-Car Emergency Radios
Pass
Fail
Specify
Repair Ticket Made?
Check if Applicable
Submit
Should be Empty: