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Courtesy Car Application Form

    First Name

    Last Name

    Email

    Mobile Phone Number

    Vehicle Rego being worked on

    I have a valid Full New Zealand Driver's License

    In order to confirm your courtesy car booking we first need to confirm your Drivers License details.

    Please either provide photos of BOTH SIDES of your Full Driver's License
    OR
    Email them to [email protected]

    Terms and Conditions

    • This car is provided as a temporary courtesy car at Grimmer Motors’ discretion while the customer’s vehicle is being serviced, repaired, or otherwise held. It is not a rental or hire service.

    • Drivers must be over 21 and provide a full NZ driver’s licence unless otherwise agreed. A photo of both sides of the licence will be taken.

    • The car may only be used within the Hamilton city area or within a 10 km radius from Grimmer Motors unless otherwise approved.

    • No smoking, eating, drinking, or pets are allowed. A $50 cleaning fee applies if the car is returned dirty, smells, or contains evidence of these.

    • The car must be returned on the agreed date, when notified the customer’s vehicle is ready, or immediately if requested. Recovery costs may be charged if not returned on time.

    • The customer must take reasonable care of the car, including locking it, securing keys, using a steering lock (if provided), and avoiding risky parking situations.

    • If keys are lost, stolen, damaged, or locked in the car, the customer is responsible for all associated costs.

    • The customer must not drive under the influence of alcohol, drugs, or impairing medication, and must not use a handheld phone while driving except as permitted by law.

    • All occupants must wear seatbelts and children must use legally compliant restraints.

    • The car must not be used recklessly, illegally, or antisocially (e.g., speeding, racing, burnouts).

    • The car must not be used for towing, pushing vehicles, heavy loads, driver training, motorsport, rideshare, deliveries, or commercial use without approval.

    • The car must not be driven on beaches, through floodwater, or off-road conditions that may cause damage.

    • The car must be returned with the same fuel level. Refuelling costs and related charges will apply if not. Incorrect fuel or battery issues are the customer’s responsibility.

    • All incidents (accidents, theft, damage, warning lights, breakdowns) must be reported immediately. No repairs or towing without approval unless required for safety.

    • The customer is responsible for all fines, tickets, tolls, or penalties incurred while using the car.

    • Only the signed customer may drive the car. The customer remains liable even if someone else drives it.

    • Liability for damage or loss is limited to the lesser of insurance excess ($1500 if over 25, $2000 if 21–25) or actual repair/replacement cost.

    • Full liability applies for serious breaches (e.g., unauthorised driver, intoxication, illegal use, misuse, failure to report issues, incorrect fuel, etc.).

    • The car must be returned with all keys, accessories, and items in similar condition (fair wear and tear excepted).

    • Magnetic courtesy car signs must not be removed, damaged, or tampered with.

    • Providing false or misleading information or failing to disclose licence issues is a serious breach.

    • Overdue payments may incur recovery costs, legal fees, and 18% annual interest (compounded monthly).

    • If any term is unenforceable, the remaining terms still apply.

    Your signature to confirm you agree to the terms and conditions listed above,
    as well as having filled out the form truthfully and to the best of your ability.
    By typing your full name into the box below, you agree that this is your Electronic Signature,
    the same as if you where handwriting your signature