Vehicle Handover Form (Pickup) - Amazon S3€¦ · Vehicle Return Vehicle Handover Form - Germany....
Transcript of Vehicle Handover Form (Pickup) - Amazon S3€¦ · Vehicle Return Vehicle Handover Form - Germany....
Booking number: BK-_ _ _ _ _ _
Driving licence number:
Passport number:
Number plate:
Vehicle model:Brand:
Fuel level:
Pickup on (date): at (time):
¼ ½ ¾ Empty Odometer:Full km
Renter (Main Driver)
Additional Drivers
Last name, first name:
Phone:
Email:
Last name, first name: Driving licence number:
Vehicle Handover Form - Germany. Page 1 of 8Vehicle Pickup
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Documents and Keys
Safety Check
Accessories and Inventory
Vehicle registration (copy)
Windscreen wipersMirrors
Radiator coolantWiper fluid
Tyre tread
Tyre pressure
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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
Vehicle Handover Form (Pickup)(English-language version for rental pickups in Germany).
Last name, first name:
Last name, first name:
Driving licence number:
Driving licence number:
Vehicle Handover Form - Germany. Page 2 of 8Vehicle Pickup
Optional extras
Vehicle Interior
Vehicle Exterior
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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
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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 - Germany. Page 3 of 8
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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 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.
The driver has been informed of the additional Campanda conditions (drivers must be between 23 and 75 years of age, and must have held a valid license for at least 3 years). Failure to abide by these conditions could jeopardize the insurance coverage.
The renter has given the owner a deposit of € _________ in cash.
Vehicle Pickup Vehicle Handover Form - Germany. Page 4 of 8
The insurance is valid across Europe and areas that have special member status with the European Union, including
the Canary Islands (Spain), the Madeira Islands and the Azores (Portugal), and certain parts of Turkey (not including
the Turkish Republic of Northern Cyprus). In these areas, motor vehicle liability insurance is covered to the extent
required by law in the respective country, and at an amount no lower than the coverage agreed by contract.
In the case of an insurance claim, the refund of the deposit is covered by the CDW (collision damage waiver) additional insurance which is included with this rental via AWP (Allianz Worldwide Parters). Please check the renter's guide page for more information about how to claim your deposit back: https://www.campanda.co.uk/renter-guide
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 - Germany. Page 5 of 8Vehicle 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:
Vehicle Return Form(English-language version for rental pickups in Germany)
Vehicle Handover Form - Germany. Page 6 of 8Vehicle Return
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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
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yes no
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yes no
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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) backa) left side
a) left side d) right sideb) front c) back
a) left side d) right sideb) front c) back
Vehicle Handover Form - Germany. 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
The owner has retained the full deposit amount until the actual cost of the damage has been calculated.
In the case of an insurance claim, the refund of the deposit is covered by the CDW (collision damage waiver) additional insurance which is included with this rental via AWP (Allianz Worldwide Parters). Please check the renter's guide page for more information about how to claim your deposit back: https://www.campanda.co.uk/renter-guide
The owner and the renter confirm the accuracy of this document and recognise that it forms part of the rental contract.
Vehicle Handover Form - Germany. Page 8 of 8Vehicle Return
Place, date
Owner’s signature Renter’s signature
Extra Fees Payment
= total fee of € _______