Daimler Condition and Options Inspection Form

"*" indicates required fields

Owner Information

Company Name*

Address*

City/State/Zip*

Contact Name*

Contact Phone Number*

Contact Email Address*

Coach Information

VIN #*

Unit #*

Mileage Odometer*

Coach Owner*

Is the coach currently in service?*

Coach Evaluation (Owner)

Evaluator Name*

Year*

Date of DOT inspection or Next Due Date*

Mfg*

Model*

WCL*

Miles/Odometer*

Does ecm mileage match odometer mileage?*

Engine Manufacturer*

Trans Mfg*

Does trans mileage match odometer mileage?*

# Seats

Rims*

Flooring Type

VIN Plate Present?*

Interior Photos (minimum 4 required)

View Sample Interior Images

VIN Plate

Max. file size: 50 MB.

Driver's Seat

Max. file size: 50 MB.

Set of Passenger Seats

Max. file size: 50 MB.

Front to Back - All Interior

Max. file size: 50 MB.

Other Interior 1

Max. file size: 50 MB.

Other Interior 2

Max. file size: 50 MB.

Exterior Photos (minimum 4 required)

View Sample Exterior Images

Right Front Corner

Max. file size: 50 MB.

Right Rear Corner

Max. file size: 50 MB.

Left Front Corner

Max. file size: 50 MB.

Left Rear Corner

Max. file size: 50 MB.

Other Exterior 1

Max. file size: 50 MB.

Other Exterior 2

Max. file size: 50 MB.

Evaluator Signature*

Evaluation Date*

Owner Information

Coach Information

Coach Evaluation (Owner)

Interior Photos (minimum 4 required)

Example Images

Exterior Photos (minimum 4 required)

Example Images