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847.382.1993 | sales@reflectionsinglass.com

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Residential
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Gallery
Contact

Vehicle Inspection Form

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Vehicle Information

Vehicle Driver *

First

Last

Make *

Year *

Model *

VIN *

Odometer Reading *

Inspection Date *

Vehicle Condition

Exterior Brake Vehicle

Brake Fluid

Satisfactory
Unsatisfactory

Windshield Fluid

Satisfactory
Unsatisfactory

Antifreeze

Satisfactory
Unsatisfactory

Transmission Fluid

Satisfactory
Unsatisfactory

Windshield Glass

Satisfactory
Unsatisfactory

Turn Signals

Satisfactory
Unsatisfactory

Mirrors

Satisfactory
Unsatisfactory

Head Lights

Satisfactory
Unsatisfactory

Tail Lights

Satisfactory
Unsatisfactory

Door Locks

Satisfactory
Unsatisfactory

Brakes

Satisfactory
Unsatisfactory

Exhaust System

Satisfactory
Unsatisfactory

Seats

Satisfactory
Unsatisfactory

Interior Cleanliness

Satisfactory
Unsatisfactory

Oil Level

Satisfactory
Unsatisfactory

Power Steering Fluid

Satisfactory
Unsatisfactory

Battery Fluid

Satisfactory
Unsatisfactory

Speedometer

Satisfactory
Unsatisfactory

Windshield Wipers

Satisfactory
Unsatisfactory

Emergency Flashers

Satisfactory
Unsatisfactory

Horn

Satisfactory
Unsatisfactory

Parking Lights

Satisfactory
Unsatisfactory

Brake Lights

Satisfactory
Unsatisfactory

Steering Wheel Play

Satisfactory
Unsatisfactory

Hand Brake

Satisfactory
Unsatisfactory

Tire Pressure

Satisfactory
Unsatisfactory

Seat Belts

Satisfactory
Unsatisfactory

Exterior Cleanliness

Satisfactory
Unsatisfactory

Description of Unsatisfactory Items

Pictures of Unsatisfactory Items

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Inspection Authorization

Inspection Results *

Pass
Fail

Inspector's Name *

First

Last

Inspector's Signature *

Clear Signature

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Contact Us

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Name *

First

Last

Comments Questions Name

Phone

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

What service can we help you with?

Comments or Questions *

Upload Drawing Files or Pictures

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Get In Touch

1160 N. Dato Ln.
Wauconda, IL 60084
847.382.1993
sales@reflectionsinglass.com

Hours

Mon - Fri: 9am - 5pm
Saturday: by appointment only
Sunday: Closed

Free Estimate

Contact us for a quote

Thank you for stopping by Reflections In Glass. We would love to hear back from you. If you are looking for a quote then simply click on the link below.

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Contact Info

1160 North Dato Ln. Wauconda, IL 60084

Phone: 847.382.1993

Fax: 847.382.1994

Email: sales@reflectionsinglass.com

Hours

Mon – Fri 9am – 5pm,
Saturday By appointment only,
Sunday Closed

American Garage Floors

Visit our sister company American Garage Floor Systems for all of your commercial and residential flooring needs. Specializing in one day flooring in your garage, patio, deck, warehouse, and much more. American Garage Floor Systems is the place to go to make your floors long lasting and looking beautiful. We have an array of colors and styles to choose from. Click HERE to be taken to American Garage Floor Systems.

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