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Vehicle Inspection Checklist
Store # |
6206 2930 W Jewell Ave Denver, CO 80219 |
Driver First Name |
Dakota
|
Driver Last Name |
Falon
|
Is this a new hire? | No |
[email protected] | |
Please take a back end photo of the vehicle | |
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Photo of Registration | |
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Registration Expires | September 30, 2021 |
Photo of drivers license | |
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Drivers License# |
161791066
|
State |
Co
|
Expires | December 11, 2021 |
INSURANCE | |
Insurance Company |
American Family Insurance
|
Policy Number |
410179917990
|
Expires | June 4, 2021 |
Photo of insurance card | |
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Items | |
Seat Belts | Pass |
Brakes | Pass |
Horn | Pass |
Windshield and wipers | Pass |
Tires (Safe Thread Depth) | Yes |
Photo | |
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Both headlights | Pass |
Reverse lights | Pass |
Brake lights | Pass |
Both tail lights | Pass |
Turn signals | Pass |
Vehicle image: | Pass |
Photo | |
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Are there any failures on this inspection? | No |
Is the driver being pulled from the road? | |
COMMENTS: | |
Driver's Signature
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Inspecting Person's Name |
America Morales
|
Inspecting Person's Signature
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