Vehicle Rental Check-In Design

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1. Rental Agency Information

• Company Name: [Your Company Name]

• Location: [Your Company Address]

• Date: [Date]

• Agent's Name: [Your Name]

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2. Customer Information

• Full Name:                                       

• Contact Number:                                       

• Email Address:                                       

• Driver’s License Number:                                       

• Date of Birth:                                       

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3. Rental Details

• Reservation Number:                                       

• Check-In Date/Time:                                       

• Vehicle Make/Model:                                       

• Vehicle License Plate Number:                                       

• Fuel Level at Pickup:                                        

• Mileage at Pickup:                                      

• Rental Duration:                                       

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4. Vehicle Condition Inspection

Pre-Existing Damages: (Yes/No)                                       

• If Yes, describe damages:

  • Exterior (e.g., scratches, dents, etc.):                                       

  • Interior (e.g., stains, tears, etc.):                                       
    

Vehicle Cleanliness:

• Exterior: (Clean/Not Clean)                                       

• Interior: (Clean/Not Clean)                                       
  

Tire Condition: (Good/Bad)                                       

Brakes/Headlights Condition: (Good/Bad)                                       

Additional Equipment Check (if applicable):                                       

• GPS: (Yes/No)                                       

• Child Seat: (Yes/No)                                       

• Roof Rack: (Yes/No)                                       

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5. Fuel & Mileage

• Starting Fuel Level: (Full/Half/Quarter/Empty)                                          

• Odometer Reading:                                          

• Fuel Policy: (Full-to-Full/Prepaid/Other)                                          

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6. Additional Notes

Any comments or special instructions from the customer:

• Customer Comments:

                                                                                          

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7. Signatures

[Customer Name]

[Your Name]

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8. Office Use Only

• Return Fuel Level:                                          

• Return Mileage:                                          

• Return Date/Time:                                          

• Vehicle Condition Upon Return:                                          

• Damage Noted on Return:                                          

• Additional Charges Applied (Yes/No):                                          

  • If Yes, specify charges:                                          

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9. Payment Summary (Optional)

• Total Rental Cost:                                          

• Additional Charges:                                          

• Taxes:                                          

• Total Amount Paid:                                          

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10. Feedback

• Customer Satisfaction Rating: (1-5 stars)                                          

• Additional Feedback:                                          

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