Professional Documents
Culture Documents
Owner Details
Name
Address
Overseas Telephone
Shipping Details
Destination on vessel Date of shipment / /
Vehicle Details
Make of vehicle Model Year
Clock yes ~ no
List any non-standard accessories attached to the vehicle:
Floor mats yes ~ no
Keys yes ~ no
Odometer reading
Household Goods & Personal Effects packed inside the vehicle are NOT COVERED
Declaration
We have inspected this vehicle and this report is our true assessment of its condition as at the date below.
Vehicle Pre-shipment
Vero Marine Insurance, an operating division of Vero Insurance New Zealand Limited VM671 11/08
PO Box 1759 Auckland Tel: +64 9 363 2600 Fax: +64 9 363 2601 www.veromarine.co.nz
Indicate on the appropriate diagram the location, type and amount of damage