Post-Repair Road Test Verification Form

Technician form for documenting a post-repair road test and confirming braking, steering, and dynamic ADAS function before vehicle delivery.

Repair File and Vehicle Identification

• Repair Order Number
  Enter the shop repair order or work order number.
• VIN - Last 8 Characters
  Use the last 8 characters only to minimize PII collection.
• Vehicle Year, Make, and Model
• Odometer Reading at Start of Road Test
  Record the starting odometer reading in miles or kilometers.

Road Test Conditions

• Date of Road Test
• Time of Road Test
• Road Surface Type
• Traffic Level
• Weather Conditions

Functional Verification Results

• Braking Performance Verified
• Braking Concern Details
  Describe any pull, noise, vibration, warning light, or other braking concern observed.
• Steering and Tracking Verified
• Steering Concern Details
  Describe any pull, wander, off-center wheel, vibration, or alignment-related concern observed.
• Dynamic ADAS Function Verified
• ADAS Systems Checked
• ADAS Concern Details
  Describe the warning, calibration concern, unavailable feature, or unexpected system behavior observed during the road test.

Technician Attestation and Delivery Readiness

• Overall Road Test Result
• Odometer Reading at End of Road Test
• Additional Notes
  Include any relevant observations, such as warning lamps, noises, vibration, or follow-up actions.
• Technician Name
• Technician Signature