Motorcycle Inspection Checklist



Motorcycle Inspection Checklist

Rider Info: ________________________________________________________

LAST FIRST M.I. GENDER

_____________________________________________________________YES / NO / LEARNERS PERMIT_

DRIVER LICENSE NUMBER STATE EXP DATE M/C ENDORSEMENT? (CIRCLE ONE)

Motorcycle info: ___________________________________________________

YEAR MAKE MODEL TYPE

_____________________________________________________________________________________________

LIC PLATE # STATE EXP DATE INSURANCE COMPANY EXP DATE

INSPECTION STICKER (CIRCLE ONE) Y / N STATE: EXP DATE:__________________

BASE REGISTRATION STICKER (CIRCLE ONE) Y / N EXP DATE:_________________________

TYPES OF BIKES OWNED OR RIDDEN (CIRCLE ALL THAT APPLY):

STANDARD / SPORT / CRUISER / TOURING / OFF ROAD / DUAL SPORT / ATV

CIRCLE ONE

Additional info: AGE GROUP 18 – 24 / 25 – 35 / > 35

DRIVER IMPROVEMENT CARD YES / NO / NREQ (AGE)

BASIC RIDERS COURSE YES / NO / ENROLLED

BASIC RIDERS COURSE COMPLETED ON BASE / OFF BASE

EXPERIENCED RIDER COURSE YES / NO / ENROLLED

SPORT BIKE COURSE YES / NO / ENROLLED

KEITH CODE AMOS YES / NO / ENROLLED

MSF RIDER COACH YES / NO / ENROLLED

Inspection Conducted By:

__________________________________________________________________

RANK LNAME FNAME M.I. DATE

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