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Reminders: A driver should always fill-up this form for some reason.

Failure to do so is subject for blaming and


questioning if the certain vehicle is damage.

Driver____________________________________________ Plate #_______________ Date _________________


Route1________________________________________ Route2________________________________________
Route3________________________________________ Route4________________________________________
Route5________________________________________ Route6________________________________________
Side mirror Left ok__ Right ok__ Left Defective__ Right Defective__ Windshield ok__ Defective __
Headlight Left ok__ Right ok__ Left Defective__ Right Defective__ Wiper ok __ Defective__
Signal Light front Left ok__ Right ok__ Left Defective__ Right Defective__ Body Left ok__ Right ok__
Signal Light Rear Left ok__ Right ok__ Left Defective__ Right Defective__
Brake light Left ok__ Right ok__ Left Defective__ Right Defective__
Rear light Left ok__ Right ok__ Left Defective__ Right Defective__
Tire front Left ok__ Right ok__ Left Defective__ Right Defective__
Tire Rear Left ok__ Right ok__ Left Defective__ Right Defective__
Window front Left ok__ Right ok__ Left Defective__ Right Defective__
Window Rear Left ok__ Right ok__ Left Defective__ Right Defective__

Driver____________________________________________ Plate #_______________ Date _________________


Route1________________________________________ Route2________________________________________
Route3________________________________________ Route4________________________________________
Route5________________________________________ Route6________________________________________
Side mirror Left ok__ Right ok__ Left Defective__ Right Defective__ Windshield ok__ Defective __
Headlight Left ok__ Right ok__ Left Defective__ Right Defective__ Wiper ok __ Defective__
Signal Light front Left ok__ Right ok__ Left Defective__ Right Defective__ Body Left ok__ Right ok__
Signal Light Rear Left ok__ Right ok__ Left Defective__ Right Defective__
Brake light Left ok__ Right ok__ Left Defective__ Right Defective__
Rear light Left ok__ Right ok__ Left Defective__ Right Defective__
Tire front Left ok__ Right ok__ Left Defective__ Right Defective__
Tire Rear Left ok__ Right ok__ Left Defective__ Right Defective__
Window front Left ok__ Right ok__ Left Defective__ Right Defective__
Window Rear Left ok__ Right ok__ Left Defective__ Right Defective__

--------------------------------------------------------------------------------------------------------------------------------------------------------------------

Driver____________________________________________ Plate #_______________ Date _________________


Route1________________________________________ Route2________________________________________
Route3________________________________________ Route4________________________________________
Route5________________________________________ Route6________________________________________
Side mirror Left ok__ Right ok__ Left Defective__ Right Defective__ Windshield ok__ Defective __
Headlight Left ok__ Right ok__ Left Defective__ Right Defective__ Wiper ok __ Defective__
Signal Light front Left ok__ Right ok__ Left Defective__ Right Defective__ Body Left ok__ Right ok__
Signal Light Rear Left ok__ Right ok__ Left Defective__ Right Defective__
Brake light Left ok__ Right ok__ Left Defective__ Right Defective__
Rear light Left ok__ Right ok__ Left Defective__ Right Defective__
Tire front Left ok__ Right ok__ Left Defective__ Right Defective__
Tire Rear Left ok__ Right ok__ Left Defective__ Right Defective__
Window front Left ok__ Right ok__ Left Defective__ Right Defective__
Window Rear Left ok__ Right ok__ Left Defective__ Right Defective__

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