Intake Notes to Written Damage Disclaimer
Turns your walkaround notes into a clear, signable sheet that records the vehicle's condition before you touch it, the services agreed, and anything the customer declined.
Before and after
Plumland Auto Detailing
8351 Mossland Ave, Coralford
312-555-0112
Vehicle Condition and Service Acknowledgment
Customer: Sheila Leach
Vehicle: 2013 Chevrolet Tahoe, black
Drop-off: Tuesday 3/11, about 8:00 am
Received by: Sean Kane
Conditions noted before any work (9 total)
Exterior
- Left front door has a ding about the size of a quarter. The paint is not cracked.
- Rear bumper has scratches through the clear coat, low on the left side.
- Hood clear coat is peeling on the right side near the edge.
- Roof rack has rust spots at the mounts.
Glass and lights
5. Windshield has a small chip on the passenger side, low.
6. Both headlights are yellowed and hazy.
Interior
7. Dash is cracked near the passenger vent.
8. Driver seat bolster leather is worn.
9. Third row headliner has a brownish stain.
Services agreed
- Full interior detail
- One-step polish on the exterior
How these conditions affect our work
- Hood (item 3): We are taping off the peeling area and will not polish it.
- Roof rack (item 4): We will clean around the mounts and will not scrub the rust spots.
- Headliner (item 9): We will try to spot clean the stain. It might not come out.
- Dash (item 7): We will wipe the dash gently.
Services we recommended and the customer declined
- Headlight restoration (item 6). We recommended it. Sheila Leach declined at drop-off. This is recorded as the customer's decision.
Photos: 14 photos of the vehicle were taken at drop-off.
By signing, I confirm this list matches the condition of my vehicle at drop-off and that I reviewed the notes above.
Customer signature: ______________________ Date: __________
Received by (Sean Kane): ______________________ Date: __________
Questions for the owner
- What was the mileage at drop-off?
- Were any personal items left in the vehicle?
- What is the expected pickup date and time?
- This sheet is a record of condition, not legal advice. Do you want any release or liability wording added? If so, have a lawyer review it and confirm local rules before you use it.
What it does
Turns your walkaround notes into a clear, signable sheet that records the vehicle's condition before you touch it, the services agreed, and anything the customer declined. It protects you and keeps the customer informed.
Use it when: Use when a detailing shop needs to turn vehicle intake notes into a written damage disclaimer or condition acknowledgment for the customer to sign, such as: write up the pre-existing damage, make a condition sheet, or put my walkaround notes into a disclaimer.