Vehicle status check
Fields marked with
*
are
mandatory
Please fill in the form and press submit to email to us.
*
Authorised Repairer Code
*
Authorised Repairer Name
Authorised Repairer Postcode
Authorised Repairer Telephone number
*
Vehicle Registration Number
*
Vehicle Chassis Number
Please enter full 17 characters
*
Number etched into top line of vehicle side windows
Please confirm that the above vehicle is registered to:
Title
Mr
Mrs
Ms
Miss
Admiral
Air Commodore
Air Vice Marshall
Brigadier
Brother
Captain
Chief
Colonel
Commander
Commodore
Councillor
Dame
Dean
Doctor
Executor(S) Of
Father
Field Marshall
Flight Lieutenant
General
Honourable
Judge
Lady
Lieutenant
Lieutenant Colonel
Lieutenant Commander
Lieutenant General
Lord
Madame
Mademoiselle
Major
Major General
Master
Monsieur
Monsignor
Mother
Nurse
Professor
Rabbi
Rear Admiral
Reverend
Right Honourable
Right Reverend
Sergeant
Sir
Sister
Squadron Leader
Venerable
Very Reverend
Vice Admiral
Wing Commander
First Name
*
Surname
*
Address
*
Postcode
Home Tel No.
Work Tel No.
Fax No.
Mobile Tel No.
Email Address
Please confirm
If vehicle is shown as stolen
Yes
No
If vehicle is written off
Yes
No
If vehicle is private since new
Yes
No
If vehicle has been a company vehicle
Yes
No
If vehicle has been a leased or hired vehicle
Yes
No
Please enter present mileage recorded
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
,
0
1
2
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4
5
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8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
Miles
Retainagroup is registered under the Data Protection Act 2018
Retainagroup policies for Data Protection are formulated to comply with GDPR requirements and details can be viewed by visiting
www.retainagroup.com/privacy.html
Retainagroup's sole purpose for maintaining data is to deter and detect crime
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