Image A Member of the International Association of Auto Theft Investigators. A Member of the Master Locksmith Association of Australasia. Webster Dictionary - MAXIM: 'An established principle or proposition. A condensed proposition of important practical truth'.

Vehicle Examination Request

CLIENT

Company Instructing:

Other Customer
Date:
Reference No:
Instructing Officer: 1st Time User - Extra Detail Required

Email:

Contact Phone No:

Fax No:

PO Box/St Address:

City, State & Post-code:


VEHICLE IDENTIFICATION

Variant (GLX, SRX etc) or Other Vehicle :

Odometer Reading (prefix with 'Est' if this is an estimate only):
Excessive Wear consideration: Is the Odometer reading InExcess of
160,000 kms or is the Vehicle Older than 10 Years?
VIN (Vehicle Identification Number): Registration No:
Vehicle Location:
Approximately When was the Vehicle Purchased:
The Date of Loss:
Have Any Keys Been Copied:

REPORT TYPE REQUIRED

Full Vehicle Examination Report Including Keys:
Full Vehicle Examination Report:
Other Report Required (please specify information required):

VEHICLE CONDITION

Intact:
Collision Damage:
Stripped:
Malicious Damage:
Water Submersion:
Interior Burn:
Total Burn:

Keys/Remotes

Key In Ignition upon Recovery:
Key In Vehicle/Ignition by Staff/Police/Tow etc:
No Keys/Remotes to be Examined:
Keys/Remotes Have Been Sent:
Keys/Remotes yet to be Recovered:

Extra Instructions



HomeMembers AreaServicesF.A.Q.About UsLinksSearchContact Us