Courtesy-vehicle loan record

For completion before handover. This record supports section 19 of PPG's terms. It is not an insurance policy. PPG makes the courtesy vehicle available as an alternative to an insurance-arranged hire car. PPG supplies the vehicle only and does not provide motor insurance. The borrower must arrange suitable cover with their own insurance company for the entire loan period, including any agreed extension until return, and provide written evidence before handover. Do not release or use the vehicle until actual cover, driver eligibility and permission for the loan have been verified.

Read the courtesy-vehicle terms · Privacy notice

Borrower, vehicle and period

Borrower name and contact detailsRepair / booking referenceCourtesy vehicle registration, make and modelPermitted drivers and licence-check recordHandover date/time and agreed return date/time

Insurance verification — before release

Insurer, policy reference, named vehicle and permitted driversCover start/end, permitted use, territory and restrictionsWritten evidence confirming third-party cover and loss/damage cover for this loanExcess, claims contact and evidence checked by / onPPG / vehicle-owner permission and relevant insurer or broker confirmation

A generic statement that a driver is insured on another vehicle is not enough. The actual cover must meet the agreed loan and legal requirements. Stop use and contact PPG immediately if cover ceases or changes.

Condition and use

Odometer and fuel / charge level at handover and returnCondition report, existing damage, photos and equipment suppliedAgreed mileage, fuel, permitted use and return arrangementsAny specifically agreed charges / limits, disclosed before acceptance; enter “none” if none

No undisclosed charge is authorised by signing this record. There is no automatic charge for PPG-caused damage, pre-existing damage or fair wear. Any claim must reflect legal responsibility and reasonable loss. PPG does not authorise an outside hire or credit-hire agreement through this loan.

Incidents and return

Notify PPG and the insurer promptly of an incident. Preserve evidence and take reasonable safety steps. Do not authorise non-emergency repairs in PPG's name. Return at the agreed time or contact PPG before it expires. Do not drive uninsured to return the vehicle; agree safe arrangements.

Acceptance

Borrower signature and datePPG representative signature and dateCopy supplied to borrower on

This record does not remove statutory rights or impose liability beyond what is lawfully agreed. Complete it accurately, provide the borrower a copy and retain it with the relevant job record.

Entries remain in this browser page until you print or save them; this form does not submit, upload or automatically save your entries.