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VEHICLE INSPECTION REQUEST FORM

Company
Street Address
City
State Zip
Contact Person
Cell Phone
Business Phone
Fax Number
Email Address
Type of Vehicle/s
No. of Units Make Model

Vehicle Location
City State Zip
Phone Fax Number
Email Address
Contact Person Cell Phone
Are Vehicles Available? Check All that Apply:
Seven Days Daylight Hours (8am-6pm) Bus Hours (M-F, 9-5)

Are vehicles legally plated & insured for road test? Yes No
Do vehicles key start? Yes No
Do vehicles have fuel for road test? Yes No
How long have vehicles been parked at this location?

Oil Samples? Yes No Road test? Yes No
Appraisal value? Yes No
Estimated time to complete inspection?
Send inspection reports to:
Purpose of Inspection:
If "Other" What is the purpose of Inspection?
Submit Reset Form