For Fleet / Workshop Use Only
JC No:
Date:
Time:
S.No: 142
Year:
Chassis No:
Registration No:
Km:
VEHICLE COMPLAIN / JOB REQUESTED
1.
2.
3.
4.
5.
6.
Remarks:

Customer Name:
Customer Number:
Customer Email:
Sign & Date:
Body Damage Report
Circle dents and scratches
Petrol
Quater
Half
Full
Empty
CHECKLIST
CIG LIGHTER
WIPERS
ASH TRAY
WHEEL CAPS
SPARE WHEEL
JACK
JACK ROD
WHEEL SPANNER
FLOOR MATS
ANTENNA
AUDIO SYSTEM
REGN CARD
PETROL CARD
TRAINING BOARD
TRIANGLE
SALIK TAG
Tyre Check
Fr. RH mm
Good
Bad
Fr. LH mm
Good
Bad
Rr. RH mm
Good
Bad
Rr. LH mm
GoodBigAuto
Bad
Service Advisor:
Name:
Sign:
Date:
Al Quoz Industrial Area 4,
Head Office, Al Wasl, Jaddaf, Dubai, Tel.:04 800AUTOFIX , Fax: 04 324 5408, E-mail: [email protected], Website: www.arcs-me.com