vehicle handover form (pickup) - amazon s3€¦ · vehicle pickup vehicle handover form - france....
TRANSCRIPT
Booking number: BK-_ _ _ _ _ _
Driving licence number:
Passport number:
ID card (CNI) Passport
Vehicle Handover Form (Pickup)
Number plate:
Vehicle model:Brand:
Fuel level:
Pickup on (date): at (time):
¼ ½ ¾ Empty Odometer:Full km
Renter (Main Driver)
Additional Driver
Last name, first name:
Phone:
Email:
Last name, first name: Driving licence number:
Vehicle Handover Form - France. Page 1 of 8Vehicle Pickup
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yes noyes no
Documents and Keys
Safety Check
Accessories and Inventory
Vehicle registration (copy)
Windscreen wipersMirrors
Radiator coolantWiper fluid
Tyre tread
Tyre pressure
yes noyes noyes noyes noyes noyes noyes noyes noyes noyes noyes no
yes no
yes no
yes noyes noyes noyes noyes noyes noyes noyes no
Warning triangle First aid kit
Car jackTool kit
Tyre repair kit
Toilet chemicals blue / green
Water hose / can
Freshwater chemicals
Awning crankTow bar hitch (caravan)
Warning sign for Italy
____ x Safety vests____ x Propane bottles ______ kg
____ x Levelling ramps____ x Ground spikes
____ x Bike racks
____ x Bike rack straps
____ x Ladder(s)
____ x Extra seat / bed cushions
____ x Thermal window blindsCEE connection cable: ____ m
Tyre conditionSpare tyre condition
Oil levelsBrake fluid
Lights
Electrical accessories
____ x set(s) of keys
Instruction manuals
Propane tank certificate
Green Card insurance certificate
(English-language version for rental pickups in France)
Vehicle Handover Form - France. Page 2 of 8Vehicle Pickup
Optional extras
Vehicle Interior
Vehicle Exterior
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yes no
Furniture surfaces
Surface edges
TV
Radio / CD Player
Dinette cushions
Blinds
Insect screens
Curtains
Fridge / freezer
Mattresses
Table tops / legs
Countertops
Flooring
Windows
Skylight
Bathroom
Shower
Toilet / WC
damaged damageddirty dirty
yes noyes no
yes no
yes no
yes no
yes no
____ x Camping tables
____ x Camping chairs
____ x Bed linen sets
____ x Tableware sets
____ x Comforters / blankets
____ x Pillows
Anything that is damaged or dirty should be documented with photographs!
Indicate any existing damage with a cross on the diagram below
d) right sideb) front c) backa) left side
a) left side d) right sideb) front c) back
a) left side d) right sideb) front c) back
Vehicle Pickup Vehicle Handover Form - France. Page 3 of 8
yes noyes noyes noyes noyes noyes noyes noyes noyes noyes noyes no
yes noyes noyes noyes noyes noyes noyes noyes noyes noyes noyes no
Screen doorWindow screens
Blackout windowsRoof hood
Roof hood ventilator
Heating (elec. / gas)
Stovetop (gas)Fridge (12V / 230V)
Water supplySafety pump
Table lowering / conversion
Operating panelInterior lights
WC flushWC cassette change
Doors / windows close
Canopy awning
Waste water tank / drainPropane bottle change
Fresh water tankRear support controls
TV
Note the details of any exterior damage here:
Comments, Notes and Special Arrangements:
Functional Test and Comments
Indicate any existing damage with a cross on the diagram below
The renter has given the owner a deposit of € _________. Cheque Cash
Vehicle Pickup Vehicle Handover Form - France. Page 4 of 8
The MACIF insurance policy, under contract number 100022802FT, provides coverage only during the term of this
rental agreement between the vehicle owner registered on Campanda and the driver of the vehicle mentioned on the
first page of this handover form. Coverage applies only if the terms of acceptance (available on the Campanda
website) are adhered to.
The renter was given detailed guidance on the vehicle and made aware of its characteristics (especially the dimensions of the vehicle).
The driver has been informed that they are responsible for familiarizing themselves with their rights and obligations, and with the road traffic regulations of the destination country and any transit countries.
The driver has been informed that additional charges (see the “Vehicle Condition on Return (Fees List)” document) will be incurred if the vehicle is not returned as agreed.
Both the driver and vehicle owner acknowledge that they have read and accepted the conditions of insurance in their entirety (including coverage, maximums, deductibles, exclusions and breaches of warranty) and accept the consequences of non-compliance with the general conditions of use of Campanda and the insurance conditions, in particular that they shall incur all or part of the costs related to an accident or a breakdown in case of breach of their obligations.
The owner and the renter confirm the accuracy of this document and recognise that it forms part of the rental contract. Both the
owner and the renter have a copy of this handover form (i.e. photo, photocopy or scan).
Place, date
Owner’s signature Renter’s signature
Vehicle Handover Form - France. Page 5 of 8
Vehicle Return Form
Vehicle Return
yes noyes no
yes no
ok not okok not okok not okok not okok not okok not ok
ok not okok not okok not okok not okok not okok not ok
yes no
yes no
Documents and Keys
Safety Check
Accessories and Inventory
Vehicle registration (copy)
Windshield wipersMirrors
Radiator coolantWiper fluid
Tyre tread
Tyre pressure
yes noyes noyes noyes noyes noyes noyes noyes noyes noyes noyes no
yes noyes noyes noyes noyes noyes noyes noyes noyes no
yes noyes no
Warning triangle First aid kit
Car jackTool kit
Tyre repair kit
Toilet chemicals blue / green
Water hose / can
Freshwater chemicals
Awning crankTow bar hitch (caravan)
Warning sign for Italy
____ x Safety vests____ x Propane bottles ___ kg
____ x Levelling ramps____ x Ground spikes
____ x Bike racks
____ x Bike rack straps
____ x Ladder(s)
____ x Thermal window blinds
____ x Extra seat / bed cushions
CEE connection cable: ____ m
Tyre conditionSpare tyre condition
Oil levelsBrake fluid
Lights
Electrical accessories
____ x set(s) of keys
Instruction manualsPropane tank certificate
Green Card insurance certificate
Booking number: BK- _ _ _ _ _ _
Number plate:
Brand: Vehicle model:
Fuel level:
Return on (date) : at (time):
¼ ½ ¾ Empty Odometer:Full km
Renter
Last name, first name:
(English-language version for rental pickups in France)
Vehicle Handover Form - France. Page 6 of 8Vehicle Return
yes noyes no
yes no
yes no
yes no
yes no
____ x Camping tables
____ x Camping chairs
____ x Bed linen sets
____ x Tableware sets
____ x Comforters / blankets
____ x Pillows
Anything that is damaged or dirty should be documented with photographs!
Optional extras
Vehicle Interior
Vehicle Exterior
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
yes no
Furniture surfaces
Surface edges
TV
Radio / CD Player
Dinette cushions
Blinds
Insect screens
Curtains
Fridge / freezer
Mattresses
Table tops / legs
Countertops
Flooring
Windows
Skylight
Bathroom
Shower
Toilet / WC
damaged damageddirty dirty
Indicate any additional damage since pickup with a cross on the diagram below
d) right sideb) front c) back a) left side
a) left side d) right sideb) front c) back
a) left side d) right sideb) front c) back
Vehicle Handover Form - France. Page 7 of 8Vehicle Return
yes noyes noyes noyes noyes noyes noyes noyes noyes noyes noyes no
yes noyes noyes noyes noyes noyes noyes noyes noyes noyes noyes no
Screen doorWindow screens
Blackout windowsRoof hood
Roof hood ventilator
Heating (elec. / gas)
Stovetop (gas)Fridge (12V / 230V)
Water supplySafety pump
Table lowering / conversion
Operating panelInterior lights
WC flushWC cassette change
Doors / windows close
Canopy awning
Waste water tank / drainPropane bottle change
Fresh water tankRear support controls
TV
Note the details of any exterior damage that was not present at pickup here:
Comments, Notes and Special Arrangements:
Functional Test and Comments
The vehicle was returned at the agreed time yes no, leading to an extra fee of € _________
The mileage is within the agreed limit yes no, leading to an extra fee of € _________ X _______ km = total fee of € __________
Tank is missing fuel No yes, _____ litres, leading to a charge of € _________ X _______ litres plus an extra fee of € _________
The waste water tank was emptied yes no, leading to an extra fee of € ____________ The vehicle was cleaned yes no, leading to an extra fee of € ____________
Total due: € _____________ paid in cash from the security deposit other
In the case where damage requires the intervention of a professional, the owner retains the €1,200 deposit (deductible is fixed by the MACIF contract) until the estimation of repair costs has been validated by an insurance expert.
The owner and the renter confirm the accuracy of this document and recognise that it forms part of the rental contract.
Vehicle Handover Form - France. Page 8 of 8Vehicle Return
Place, date
Owner’s signature Renter’s signature
Extra Fees Payment
= total fee of € _______