Scribd
Upload
654 views

Car Exchange Agreement Form: Homelink International

This document is a car exchange agreement form used by HomeLink International. It collects information from both exchanging members including their names, addresses, membership numbers, vehicle details, insurance company and coverage details, contact numbers for breakdown assistance, and signatures authorizing named guest drivers. Both members fill out the form, with one on the left side and the other on the right, and send a copy to their respective HomeLink office.

Uploaded by

joriliejoyab
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
654 views

Car Exchange Agreement Form: Homelink International

This document is a car exchange agreement form used by HomeLink International. It collects information from both exchanging members including their names, addresses, membership numbers, vehicle details, insurance company and coverage details, contact numbers for breakdown assistance, and signatures authorizing named guest drivers. Both members fill out the form, with one on the left side and the other on the right, and send a copy to their respective HomeLink office.

Uploaded by

joriliejoyab
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

HomeLink International

CAR EXCHANGE AGREEMENT FORM


Both exchangers should complete the one form, one member on the left and the other member on the right. Each
should then send a copy to his/her respective HomeLink office.

Name of registered owner of the vehicle: Name of registered owner of the vehicle:
___________________________________ ___________________________________
Address:____________________________ Address:____________________________
___________________________________ ___________________________________
Membership number_______________ Membership number_______________

Proposed dates for car exchange

Make, model, year and registration number of vehicle

The car is comprehensively insured with the following company

Registration and insurance documents will be in the following place:

Is the car insurance limited in the extent of third party liability cover for the guest driver
No Yes No Yes

If yes, give the amount If yes, give the amount


In the event of an accident in which the guest driver is at fault, he/she hereby agrees to reimburse the vehicle
owner for the non-claimable* portion of the insurance claim. If there is a significant difference between the
amounts, members should agree an equitable sum. The agreed amount is:

*Examples: no-claims discount/bonus, excess payable in the event of a claim.

Driver restrictions such as mileage limit, restricted areas for driving or parking etc.

In case of mechanical difficulties, telephone this number:


(say what type of service will be received, e.g. emergency breakdown service)

It is assumed that the car will be fully serviced and clean on hand-over to the guest driver, and on its return to the
owner. It is assumed that each driver will be in possession of a valid driver’s license, and that a photocopy is being
sent by each to the other car owner. The car will remain registered and insured for the duration of the exchange.
Name of guest/s who is/are authorised to drive this Name of guest/s who is/are authorised to drive this
vehicle: vehicle:
______________________________________ ______________________________________
Age/s of guest/s:_________ Age/s of guest/s:_________

I, _____________________________(print name) I, _____________________________(print name)


hereby give permission to the person/s named above to be a guest driver of my vehicle

Signed_________________________Date__________ Signed_________________________Date__________

You might also like