Name

Phone number

Driver's License Number

Make and Model

License Plate Number

Color

Bodywork

• No damage

• Minor scratches

• Dents or dings

• Major damage

Windows

• No cracks or chips

• Small cracks or chips

• Significant cracks or chips

• Broken window

Tires

• No visible damage

• Minor wear

• Worn tread

• Flat tire or puncture

Lights and Indicators

• All functional

• One or more not working

• Broken or cracked light

• Not applicable (e.g., if no lights)

Seats

• No stains or tears

• Minor stains

• Tear or visible damage

• Major damage or broken seat

Dashboard and Controls

• All functional

• One or more controls not working

• Cracked dashboard

• Major damage or missing parts

Carpets and Upholstery

• Clean and undamaged

• Minor stains

• Heavy stains or wear

• Torn or damaged

Windows and Mirrors

• All functional

• Scratched or marked

• Cracked or broken

• Not applicable (e.g., missing mirror)

Fuel Level

• Full

• Partial

• Empty (to be filled)

Odometer Reading

Rental Period (Start Date)

Rental Period (End Date)

Distance Limit

Insurance Coverage