Skip to main content
Close Search
Book Appointment
Menu
Our values
Why Us?
Services
Offers
Knowledge base
B
o
o
k
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
Address
Address Line 1
Address Line 2
City
State / Province / Region
Email
*
Phone
Fill the Details
Make
Model
Rego
Engine No.
WOF Expiry
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
1
2
3
4
5
6
7
8
9
10
11
12
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Technician Name
Claim No.
Year
Chas No.
Kms
MFG
NZ
Imp
OVERALL
OVERALL
Road test vehicle
OK
Action Required
Actions to be taken or Actions taken
Lubricate door, bonnet, boot hinges and strikers
OK
Action Required
Actions to be taken or Actions taken
All fluid top up and level
OK
Action Required
Actions to be taken or Actions taken
Fuel filter
OK
Action Required
Actions to be taken or Actions taken
Coolant level & inhibitor strengths
OK
Action Required
Actions to be taken or Actions taken
Battery protectant
OK
Action Required
Actions to be taken or Actions taken
Cooling hoses and clamps
OK
Action Required
Actions to be taken or Actions taken
Air conditioning cabin filter (where applicable)
OK
Action Required
Actions to be taken or Actions taken
Measure rear rotor / drum thickness
OK
Action Required
Actions to be taken or Actions taken
Vacuum interior of vehicle
OK
Action Required
Actions to be taken or Actions taken
Measure rear pads / shoes
OK
Action Required
Actions to be taken or Actions taken
MECHANICAL
MECHANICAL
Change engine oil after filter
OK
Action Required
Actions to be taken or Actions taken
Transmission / differential oil level
OK
Action Required
Actions to be taken or Actions taken
Test battery condition
OK
Action Required
Actions to be taken or Actions taken
Battery charge rate
OK
Action Required
Actions to be taken or Actions taken
Condition of air filter
OK
Action Required
Actions to be taken or Actions taken
Test brake fluid condition
OK
Action Required
Actions to be taken or Actions taken
Wheel bearings
OK
Action Required
Actions to be taken or Actions taken
Remove wheels & inspect brakes
OK
Action Required
Actions to be taken or Actions taken
SAFETY
SAFETY
Check rear wheels bearings
OK
Action Required
Actions to be taken or Actions taken
Check condition of tyres record depth readings
OK
Action Required
Actions to be taken or Actions taken
Inflate tyres
OK
Action Required
Actions to be taken or Actions taken
Check front CV boots and joints
OK
Action Required
Actions to be taken or Actions taken
Steering components condition
OK
Action Required
Actions to be taken or Actions taken
Check exhaust system
OK
Action Required
Actions to be taken or Actions taken
Caliper / Wheel cylinder operation
OK
Action Required
Actions to be taken or Actions taken
Measure front disc pads
OK
Action Required
Actions to be taken or Actions taken
Measure front rotor
OK
Action Required
Actions to be taken or Actions taken
Top up sterring oil
OK
Action Required
Actions to be taken or Actions taken
OVERALL SAFETY
OVERALL SAFETY
Operation of dash warning lights
OK
Action Required
Actions to be taken or Actions taken
Replace wiper inserts
OK
Action Required
Actions to be taken or Actions taken
All seatbelts for deterioration and security
OK
Action Required
Actions to be taken or Actions taken
Top up washer with additive
OK
Action Required
Actions to be taken or Actions taken
All drive belts condition
OK
Action Required
Actions to be taken or Actions taken
Operation of horn
OK
Action Required
Actions to be taken or Actions taken
Operation of all lights
OK
Action Required
Actions to be taken or Actions taken
Window wiper operation
OK
Action Required
Actions to be taken or Actions taken
Caliper operation
OK
Action Required
Actions to be taken or Actions taken
Seat belt inspection
OK
Action Required
Actions to be taken or Actions taken
Handbreak mechanism and adjust
OK
Action Required
Actions to be taken or Actions taken
Windscreen and check for damage
OK
Action Required
Actions to be taken or Actions taken
Complete report and discuss with owner
Submit
Close Menu
Our values
Why Us?
Services
Offers
Knowledge base
