Intervac International

Car Exchange Agreement

Car Exchange Agreement
(Sample provided by Intervac International)

I, (car owner’s name)………………………………………………………………………………………….........................

(Address)…………………………………………………………………………………………………………..........................
hereby loan to:
(user’s first and last name)……….…...………………………………………..........................………………………….
(user’s date of birth).......................................................................................................................
of (address)……………………..…………….…………………………………….........................……………………………
my car registered in my name, stated below, for the period of ………… days
from ……........………………...to ……........………………... inclusive,
and grant the above named person(s) permission to drive my car
in the following countries …………......….……………… but not in …………………....……………..
and/or drive a distance not exceeding .....................................km/miles.
They understand that the driver(s) must be in possession of a valid driver’s licence:
Dated…………………………………………………………………………………………………………..
Number…………………………………………………………………………………………….………….

In the event of an accident in which the above named persons are blameworthy,
they hereby agree to reimburse the vehicle owner,
(car owner’s name) …...........………………………………………………………………………………………..…………….
for the deductible portion of the insurance claim in the amount of
………………… € / $ for collision.

They also agree to reimburse the vehicle owner the full amount of any sum in excess of the owner’s
liability coverage should a legal suit for bodily injury and/or property damage result in an award in
excess of the owner’s insurance coverage.
Furthermore, they hereby agree to reimburse the vehicle owner for the loss of his safe driving
discount each year for a period of ……..….years, or, at choice of ………………… € / $, paid outright in
addition to the total cost of any repairs required as a result of the accident.

Car Designation
Make Model
Model year Serial number
Registration number Licence Plate number
Mileage Photo of the vehicle In attachment
 Intervac International
Car Exchange Agreement
Members Identification
Car owner User

Print name Print name

Intervac listing number Intervac listing number

Date Date

Signature Signature