Trye Damage Repair Form – Pegasus Fleet Management System

Tyre Damage Repair Form

Depot

Vehicle Registration

Van Reg that needs the tyre repair

Brief Description of Damage

Give a brief but accurate description to allow us to fast track the request

I accept this invoice for tyre damage and confirm I am responsible for this taking place. Should this happen again I understand and accept I will be liable for any damage invoice specifically related to tyre damage not related to worn, or punctured damage, for any vehicle I am responsible for.

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I understand payments due to me can be held as cover for repayment of said invoices or acceptance of a payment plan with the weekly amount to be agreed between Pegasus Couriers Scotland Ltd. And myself.

Driver's Name

First

Last

Drivers Email address for confirmation

Drivers Email for confirmation

Drivers Signature

Clear Signature