vehicle handover form (pickup) - amazon s3€¦ · vehicle pickup vehicle handover form - france....

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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 8 Vehicle Pickup yes no yes no yes no ok not ok ok not ok ok not ok ok not ok ok not ok ok not ok ok not ok ok not ok ok not ok ok not ok ok not ok ok not ok yes no yes no Documents and Keys Safety Check Accessories and Inventory Vehicle registration (copy) Windscreen wipers Mirrors Radiator coolant Wiper fluid Tyre tread Tyre pressure 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 Warning triangle First aid kit Car jack Tool kit Tyre repair kit Toilet chemicals blue / green Water hose / can Freshwater chemicals Awning crank Tow 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 blinds CEE connection cable: ____ m Tyre condition Spare tyre condition Oil levels Brake 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)

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Page 1: Vehicle Handover Form (Pickup) - Amazon S3€¦ · Vehicle Pickup Vehicle Handover Form - France. Page 4 of 8 The MACIF insurance policy, under contract number 100022802FT, provides

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

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 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)

Page 2: Vehicle Handover Form (Pickup) - Amazon S3€¦ · Vehicle Pickup Vehicle Handover Form - France. Page 4 of 8 The MACIF insurance policy, under contract number 100022802FT, provides

Vehicle Handover Form - France. Page 2 of 8Vehicle Pickup

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

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

Page 3: Vehicle Handover Form (Pickup) - Amazon S3€¦ · Vehicle Pickup Vehicle Handover Form - France. Page 4 of 8 The MACIF insurance policy, under contract number 100022802FT, provides

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

Page 4: Vehicle Handover Form (Pickup) - Amazon S3€¦ · Vehicle Pickup Vehicle Handover Form - France. Page 4 of 8 The MACIF insurance policy, under contract number 100022802FT, provides

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

Page 5: Vehicle Handover Form (Pickup) - Amazon S3€¦ · Vehicle Pickup Vehicle Handover Form - France. Page 4 of 8 The MACIF insurance policy, under contract number 100022802FT, provides

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)

Page 6: Vehicle Handover Form (Pickup) - Amazon S3€¦ · Vehicle Pickup Vehicle Handover Form - France. Page 4 of 8 The MACIF insurance policy, under contract number 100022802FT, provides

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

Page 7: Vehicle Handover Form (Pickup) - Amazon S3€¦ · Vehicle Pickup Vehicle Handover Form - France. Page 4 of 8 The MACIF insurance policy, under contract number 100022802FT, provides

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

Page 8: Vehicle Handover Form (Pickup) - Amazon S3€¦ · Vehicle Pickup Vehicle Handover Form - France. Page 4 of 8 The MACIF insurance policy, under contract number 100022802FT, provides

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 € _______