Ready-to-Use Template

Vehicle Assessment

Collect vehicle details, owner information, inspection needs, and assessment requests to organize vehicle evaluations and service follow-ups.

The Vehicle Assessment Form helps you collect vehicle inspection and condition details easily using Contact Form 7. It is simple to set up and easy to use, allowing beginners to add it to their website without any difficulty. This form allows users to submit vehicle evaluation information online instead of filling out paper records. In this template, you’ll find fields to collect important details such as assessment date, inspector name, and vehicle information. It also includes a checklist to review different vehicle components, including engine performance, brakes, lights, steering system, suspension, and fuel system. These options help you record the condition of each part in a clear and organized way. Overall, this form provides an easy way to manage vehicle assessment records in one place. It helps you collect the necessary inspection details to review a vehicle’s condition clearly and keep your records organized.

Vehicle Assessment

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Inspection Date & Time *

First Name *

Last Name *

Address

Address Line 1 *

Address Line 2

City *

State *

Post Code *

Country *

License/Registration Number

Phone

VIN Number

Vehicle Year *

Vehicle Make

Vehicle Model

Vehicle Mileage

Front Bumper *

Back Bumper *

Leaks under vehicle *

Tire pressure *

Windows *

Doors *

Front/Back lights *

Side mirrors *

Clean interior *

Floor free of hazards *

Seat belts condition *

Mirrors *

Brake functionality *

Heat *

A/C *

Warning lights *

Under The Hood

Oil level *

Wiper fluid level *

Belts *

Hoses *

Brake fluid *

Power steering fluid *

Coolant level *

Electrical

Left turn signal *

Right turn signal *

High beams *

Low beams *

Emergency flashers *

Horn *

Windshield wipers *

Brake lights *

Safety Equipment

Reflective triangles or flares *

First aid kit *

Bio-hazard kit *

Seatbelt cutter *

Accessiblity Equipment (if applicable)

Cycle lift *

Proper number of seat belts *

Emergency handle *

Hydraulic fluid *

Notes Upload Relevant Images * Drag and drop image here or Upload upto 1 Images. Max File Size: MB

Signature

Inspector First Name

Inspector Last Name

<label> Inspection Date & Time *
    [date_time inspection_date_time "m/d/Y h:i A"] </label>


    
    <label> First Name *
        [text* first-name autocomplete:first-name] </label>
    
    
    <label> Last Name *
        [text* last-name autocomplete:last-name] </label>
    


<label>Address</label>
[address address-463 format:international required_fields:line1|city|state|zip|country]


    
    <label> Email
        [email mail] </label>
    
    
    <label> License/Registration Number
        [text* license-registration] </label>
    



    
    <label> Phone
        [phone phone] </label>
    
    
    <label> VIN Number
        [text vin-number] </label>
    



    
    <label> Vehicle Year *
        [text* vehicle-year] </label>
    
    
    <label> Vehicle Make
        [text vehicle-make] </label>
    



    
    <label> Vehicle Model
        [text* vehicle-model] </label>
    
    
    <label> Vehicle Mileage
        [text vehicle-mileage] </label>
    



    
    <label> Front Bumper *
        [select* front-bumper first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Back Bumper *
        [select* back-bumper first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Leaks under vehicle *
        [select* leaks-under-vehicle first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Tire pressure *
        [select* tire-pressure first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Windows *
        [select* windows first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Doors *
        [select* doors first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Front/Back lights *
        [select* front-back-lights first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Side mirrors *
        [select* side-mirrors first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Clean interior *
        [select* clean-interior first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Floor free of hazards *
        [select* floor-fazards first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Seat belts condition *
        [select* seat-belts-condition first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Mirrors *
        [select* mirrors first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Brake functionality *
        [select* brake-functionality first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Heat *
        [select* heat first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> A/C *
        [select* ac first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Warning lights *
        [select* warning-lights first_as_label "- select -" "Pass" "Fail"] </label>
    


[section_break section_break-876 "Under The Hood"]


    
    <label> Oil level *
        [select* oil_level first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Wiper fluid level *
        [select* wiper-fluid-level first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Belts *
        [select* belts first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Hoses *
        [select* hoses first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Brake fluid *
        [select* brake-fluid first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Power steering fluid *
        [select* power-steering-fluid first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Coolant level *
        [select* coolant-level first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    


[section_break section_break-877 "Electrical"]


    
    <label> Left turn signal *
        [select* left-turn-signal first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Right turn signal *
        [select* right-turn-signal first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> High beams *
        [select* high-beams first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Low beams *
        [select* low-beams first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Emergency flashers *
        [select* emergency-flashers first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Horn *
        [select* horn first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Windshield wipers *
        [select* windshield-wipers first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Brake lights *
        [select* brake-lights first_as_label "- select -" "Pass" "Fail"] </label>
    


[section_break section_break-659 "Safety Equipment"]


    
    <label> Reflective triangles or flares *
        [select* reflective-triangles first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> First aid kit *
        [select* first-aid-kit first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Bio-hazard kit *
        [select* bio-hazard-kit first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Seatbelt cutter *
        [select* seatbelt-cutter first_as_label "- select -" "Pass" "Fail"] </label>
    


[section_break section_break-188 "Accessiblity Equipment (if applicable)"]


    
    <label> Cycle lift *
        [select* cycle-lift first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Proper number of seat belts *
        [select* proper-number-seat-belts first_as_label "- select -" "Pass" "Fail"] </label>
    



    
    <label> Emergency handle *
        [select* emergency-handle first_as_label "- select -" "Pass" "Fail"] </label>
    
    
    <label> Hydraulic fluid *
        [select* hydraulic-fluid first_as_label "- select -" "Pass" "Fail"] </label>
    


<label> Notes
    [textarea notes x3] </label>

<label> Upload Relevant Images *
    [image_upload* image_upload-343 max_files:1] </label>

[section_break section_break-366 "Signature"]


    
    <label> Inspector First Name
        [text inspector-first-name] </label>
    
    
    <label> Inspector Last Name
        [text inspector-last-name] </label>
    


[submit "Submit"]

Input Fields Used in this Template

Explore the advanced functionalities that extend Contact Form 7, enhancing your form capabilities and optimizing user interactions

Date Time Field

Text Field

Address Field

Email field

Phone Field

Dropdown select

Section Break Field

Textarea field

Image Upload Field

Submit button

Here is a user‑friendly Vehicle Assessment Form designed to collect vehicle inspection and owner details efficiently.

Inspection Date & Time: The date and time when the vehicle inspection is performed.
First Name: Inspector’s given name for identification.
Last Name: Inspector’s family name for identification.
Address Line 1: Primary address information of the vehicle owner or inspection location.
Address Line 2: Secondary address information (optional).
City: City of the vehicle owner or inspection location.
State: State of the vehicle owner or inspection location.
Post Code: Postal code of the inspection address.
Country: Country of the inspection address.
Email: Contact email for follow‑up communication.
License/Registration Number: Vehicle’s license or registration identifier.
Phone: Contact phone number for the owner or inspector.
VIN Number: Unique Vehicle Identification Number for tracking and records.
Vehicle Year: Manufacturing year of the vehicle.
Vehicle Make: Brand or manufacturer of the vehicle.
Vehicle Model: Specific model name or number of the vehicle.
Vehicle Mileage: Current mileage of the vehicle.
Others Vehicle Assessment: General checks of exterior, interior, safety, and basic vehicle functionality.
Under The Hood: Inspection of engine components and fluid levels.
Electrical: Functional check of lighting and electrical systems.
Safety Equipment: Verification of required safety and emergency equipment.
Accessibility Equipment: Inspection of accessibility-related components and systems.
Inspection Details: Inspector information, notes, image uploads, and form submission details.

Feature of this Template

Here is a quick overview of the features of this template, highlighting its key functions and how they can help you automate your process.

Vehicle Information: Collects details about the vehicle, including make, model, year, and VIN (Vehicle Identification Number).
Mileage: Records the current mileage of the vehicle.
Exterior Condition: Assesses the condition of the vehicle’s exterior, including any dents, scratches, or paint issues.
Interior Condition: Evaluates the state of the interior, including seats, dashboard, and upholstery.
Mechanical Condition: Reviews the performance of key mechanical systems such as the engine, transmission, and brakes.
Maintenance and Service History: Requests details on any past maintenance or repairs performed on the vehicle.