Ride-Share Driver Vehicle Inspection Form

Driver Information

Driver Name Phone Number Email

Vehicle Information

Make Model Year License Plate VIN

Inspection Checklist

Item	Pass	Fail	Comments
Headlights
Brake Lights
Turn Signals
Horn
Windshield Wipers
Tires & Tread
Seat Belts
Mirrors
Windows
Emergency Brakes
Cleanliness

Inspector Name Inspection Date