Name

Phone number

Rental Agreement Number

Make

Model

License Plate

VIN (Vehicle Identification Number)

Exterior Condition

Please check all that apply.

• No visible damage

• Minor scratches or scuffs

• Dents or creases

• Cracked or broken bumper

• Major body damage

Interior Condition

Please check all that apply.

• Clean and undamaged

• Light stains or marks

• Torn or damaged upholstery

• Odor present

• Major interior damage

Tires

Please check all that apply.

• No visible damage, tread is in good condition

• Minor scuff marks or wear

• Flat or under-inflated tire(s)

• Significant tread wear or damage

• Tire pressure light on

Windshield and Windows

Please check all that apply.

• No cracks or chips

• Small chip(s)

• Cracked windshield

• Scratched or damaged windows

• Broken or missing side mirror(s)

Lights and Indicators

Please check all that apply.

• All lights working (headlights, brake lights, turn signals)

• One or more lights not functioning

• Faulty turn signal or brake lights

• Broken or cracked headlight(s)

• Warning lights illuminated (e.g., check engine, ABS)

Starting Mileage

Ending Mileage

Starting Fuel

• Full

• Half

• Empty

Ending Fuel

• Full

• Half

• Empty

New Damages or Issues