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Pre-DVIC

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Driver's Name *

First

Last

Start time & date *

Date

Time

Vehicle Registration Number *

Vehicle's Km *

Are you using a trailer? *

Trailer Check (Please select only that applies) *

Start Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Pictures of the vehicle *

Click or drag files to this area to upload. You can upload up to 10 files.

Please make sure you take pictures from each corner of the vehicle with the lights on and include the whole vehicle in each picture.

I can confirm that the following are free from any damage and in good working order

It is safe and legal to drive? *

Please describe with your own words the issue *

Try to give as much details as you possibly can

I agree that I have answered to all the questions honestly and to the best of my knowledge.