Proof of Collection (POC)
1
Collection Details
2
Vehicle Details
3
Photo Documentation
4
Vehicle Inspection
5
Signatures
Collection Details
Contact Name
Address
Street Address
Address Line 2
City
County/Region
Postcode
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Email Address
Phone Number
Vehicle Details
Make
Model
Colour
Registration Number
Chassis Number
Mileage
Documents Collected
V5C Vehicle Log Book
Yes
No
MOT
Yes
No
Book Pack
Yes
No
Service Book
Yes
No
Items Collected
Keys
Yes
No
Number of Keys
Photo Documentation
Left Side Photos
Upload photos of the left side of the motorbike.
Drop files here or
Select files
Max. file size: 512 MB.
Right Side Photos
Upload photos of the right side of the motorbike.
Drop files here or
Select files
Max. file size: 512 MB.
Front Photos
Upload photos of the front of the motorbike.
Drop files here or
Select files
Max. file size: 512 MB.
Back Photos
Upload photos of the back of the motorbike.
Drop files here or
Select files
Max. file size: 512 MB.
Additional Damage Photos
Upload any additional photos showing specific areas of damage.
Drop files here or
Select files
Max. file size: 512 MB.
Visual Inspection
Front Fairing
No Damage
Scratches
Cracks
Dents
Fuel Tank
No Damage
Scratches
Cracks
Dents
Side Panels
No Damage
Scratches
Cracks
Dents
Rear Fairing
No Damage
Scratches
Cracks
Dents
Seat
No Damage
Scratches
Cracks
Dents
Front Mudguard
No Damage
Scratches
Cracks
Dents
Rear Mudguard
No Damage
Scratches
Cracks
Dents
Frame
No Damage
Scratches
Cracks
Dents
Headlight
No Damage
Scratches
Cracks
Dents
Indicators
No Damage
Scratches
Cracks
Dents
Taillight
No Damage
Scratches
Cracks
Dents
Mirrors
No Damage
Scratches
Cracks
Dents
Engine
No Visible Damage
Leaks (Oil/Fuel)
Unusual Noises
Exhaust
No Damage
Rust
Scratches
Dents
Chain/Sprocket
Proper Tension
Rusty
Worn
Front Wheel/Tyre
No Damage
Scratches
Dents
Tread Depth (mm)
Rear Wheel/Tyre
No Damage
Scratches
Dents
Tread Depth (mm)
Fuel Level at Collection
Full
3/4
1/2
1/4
Empty
Notes
Add any relevant details about the bike’s condition or damage not covered by photos or the visual inspection.
Collection Acknowledgement
I acknowledge the above condition of the motorcycle upon collection.
Print Name (Customer)
Signed (Customer)
Print Name (Driver)
Signed (Driver)
Date
MM slash DD slash YYYY
Time (24 Hour)
Hours
:
Minutes
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