Courtesy Car Loan Request Form

Personal Information

First Name

Last Name

Street Address

City/Town

State/Province

Postal/ ZIP code

Phone Number

Email Address

Driver's License Number

Driver's License Expiry Date

Vehicle Information

Year

Make

Model

Reason for Service/Repair: (Briefly explain why your vehicle needs service/repair)

Expected Service/Repair Duration: (Estimated time your vehicle will be at the service center)

Loan Car Requirements

Preferred Vehicle Type (if any): (e.g., Small car, Sedan, SUV, etc)

Preferred Transmission Type

Manual transmission

Automatic transmission

Continuously variable transmission

Dual-clutch transmission

List any specific requirements (e.g., Child seat, accessibility features, etc).

Loan Car Usage Agreement

I understand that the courtesy car is provided to me for the sole purpose of transportation while my vehicle is being serviced/repaired.
I agree to return the courtesy car in the same condition as it was received, excluding normal wear and tear.
I am responsible for any damages to the courtesy car during the loan period, unless caused by mechanical failure not attributed to my negligence.
I am responsible for any traffic violations or parking fines incurred while using the courtesy car.
I understand that the loan period is subject to the service center's discretion and vehicle availability.
I confirm that I have a valid driver's license and am insured to drive the courtesy vehicle.

Customer Signature

Form Template Insight

Please remove this form template insight section before publishing.

This Courtesy Car Loan Request Form is a document used by service centers or dealerships when lending a vehicle to a customer while their own car is being repaired or serviced. It serves several important purposes:

For the Customer:

Formal Request: It provides a formal way for the customer to request a loaner vehicle, outlining their needs and preferences.
Understanding Responsibilities: It clearly states the customer's responsibilities regarding the loaner car, such as returning it in good condition, being responsible for traffic violations, and understanding their liability in case of damage.
Record Keeping: The signed form acts as a record of the agreement between the customer and the service center, protecting the customer in case of disputes.

For the Service Center/Dealership:

Vehicle Tracking: It helps the service center track which loaner vehicle is assigned to which customer and for what period.
Liability Protection: It protects the service center by documenting the condition of the loaner vehicle at the start and end of the loan period, minimizing disputes about damages.
Clear Agreement: It establishes a clear agreement with the customer about the terms of the loan, including usage restrictions and responsibilities.
Efficient Process: It streamlines the loaner car process by having a standardized form for all customers.

Key Sections Explained:

Personal Information: Gathers essential information about the customer, ensuring proper identification and contact details.
Vehicle Information: Details about the customer's vehicle being serviced, providing context for the loaner car request.
Loan Car Requirements: Allows the customer to specify any preferences for the loaner vehicle, if available.
Loan Car Usage Agreement: This is the most crucial section. It outlines the terms and conditions of the loan, including responsibilities, liabilities, and usage restrictions. It's essential that the customer reads this section carefully.
Service Center Use Only: This section is for internal use by the service center, documenting the assigned loaner vehicle, loan period, and condition.
Return of Loan Car: Records the condition of the loaner vehicle upon its return, noting fuel level and any damages. This is important to avoid disputes about who is responsible for any new damage.

Why this form is important:

This form is a legally-sound way to manage the loan of a vehicle. It protects both the customer and the service center by clearly defining the terms and conditions of the loan. Without such an agreement, disputes about damages, responsibilities, and liabilities would be much more difficult to resolve. It's a crucial part of a professional and transparent loaner car process.

To configure an element, select it on the form.