Skip to main content
Close Search
Request an Appointment
Menu
Our values
Why Us?
Services
Insurance Repair & Accident Repair
Suspension Repair
Steering
Auto Electrical Repair
Mechanical Services
Tyre Change
Mechanical Insurance
Comprehensive Car Insurance
Car Stereo Installation
Battery Services
Japanese Car Services
WOF
Vehicle Scanning and Diagnostic
WINZ Quotes
Offers
Knowledge base
R
e
q
u
e
s
t
a
n
A
p
p
o
i
n
t
m
e
n
t
Top Service Form
Please fill up this Top Service Form if you need your car to be serviced entirely. Please mention which area you’d like us to look into or consult our mechanic to assist you which parts are required to be actioned.
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Your Name
*
First
Last
Email
*
Make
Model
Rego
Engine No.
Technician Name
Claim No.
Year
Chas No.
Kms
MFG
NZ
Imp
Road test vehicle
OK
Action Required
Lubricate door, bonnet, boot hinges and strikers
OK
Action Required
All fluid top up and level
OK
Action Required
Fuel filter
OK
Action Required
Coolant level & inhibitor strengths
OK
Action Required
Battery protectant
OK
Action Required
Cooling hoses and clamps
OK
Action Required
Air conditioning cabin filter (where applicable)
OK
Action Required
Measure rear rotor / drum thickness
OK
Action Required
Vacuum interior of vehicle
OK
Action Required
Measure rear pads / shoes
OK
Action Required
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Change engine oil after filter
OK
Action Required
Transmission / differential oil level
OK
Action Required
Test battery condition
OK
Action Required
Battery charge rate
OK
Action Required
Condition of air filter
OK
Action Required
Test brake fluid condition
OK
Action Required
Wheel bearings
OK
Action Required
Remove wheels & inspect brakes
OK
Action Required
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Check rear wheels bearings
OK
Action Required
Check condition of tyres record depth readings
OK
Action Required
Inflate tyres
OK
Action Required
Check front CV boots and joints
OK
Action Required
Steering components condition
OK
Action Required
Check exhaust system
OK
Action Required
Caliper / Wheel cylinder operation
OK
Action Required
Measure front disc pads
OK
Action Required
Measure front rotor
OK
Action Required
Top up sterring oil
OK
Action Required
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Operation of dash warning lights
OK
Action Required
Replace wiper inserts
OK
Action Required
All seatbelts for deterioration and security
OK
Action Required
Top up washer with additive
OK
Action Required
All drive belts condition
OK
Action Required
Operation of horn
OK
Action Required
Operation of all lights
OK
Action Required
Window wiper operation
OK
Action Required
Caliper operation
OK
Action Required
Seat belt inspection
OK
Action Required
Handbreak mechanism and adjust
OK
Action Required
Windscreen and check for damage
OK
Action Required
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Actions to be taken or Actions taken
Complete report and discuss with owner
Submit
Close Menu
Our values
Why Us?
Services
Insurance Repair & Accident Repair
Suspension Repair
Steering
Auto Electrical Repair
Mechanical Services
Tyre Change
Mechanical Insurance
Comprehensive Car Insurance
Car Stereo Installation
Battery Services
Japanese Car Services
WOF
Vehicle Scanning and Diagnostic
WINZ Quotes
Offers
Knowledge base
